UNILATERAL PERCUTANEOUS KYPHOPLASTY IN PATIENTS WITH PAINFUL OSTEOPOROTIC VERTEBRAL COMPRESSION FRACTURES; SINGLE CENTER EXPERIENCE Ağrılı Osteoporotik Vertebra Kompresyon Kırığı Olan Hastalarda Tek Taraflı Kifoplasti Uygulaması; Tek Merkez Deneyimi
Objective: The objective of this study is to evaluate the outcomes of unilateral percutaneous kyphoplasty
(PKP) performed in treatment-resistant patients with osteoporotic vertebral fractures.
Material and Methods: The study sample consisted of eight patients with painful osteoporotic compression
fractures who did not respond to conservative treatment methods. However, the respective clinical results
were evaluated based on radiological findings pertaining to 18 operated vertebrae of the said eight patients.
The Oswestry Disability Index (ODI) scores and Visual Analogue Scale (VAS) scores were recorded before the
procedure and at the 1st-month and 6th-month follow-up visits. Vertebral angle (VA), and anterior height
(AH), central height (CH) and posterior height (PH) of the superior and inferior endplates of the vertebrae
were measured before the procedure and at the 6th-month follow-up using direct radiography.
Results: Mean VAS and ODI scores decreased 70.5% and 72%, respectively, over a 6-month period. The
mean vertebral height increased after kyphoplasty, as reflected by a 3.15% increase in AH, 24.6% increase in
CH and 0.99% increase in PH. Additionally, VA was found to have increased by 13.6%.
Conclusion: The results of this study featuring a small patient population indicated that unilateral balloon
PKP can be used safely and effectively to achieve earlier mobilization with faster pain relief and fewer
complications.
Anahtar Kelimeler:
UNILATERAL PERCUTANEOUS KYPHOPLASTY IN PATIENTS WITH PAINFUL OSTEOPOROTIC VERTEBRAL, COMPRESSION FRACTURES; SINGLE CENTER EXPERIENCE, Ağrılı Osteoporotik Vertebra Kompresyon Kırığı Olan Hastalarda Tek Taraflı Kifoplasti Uygulaması; Tek Merkez Deneyimi
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- 1. Lemke DM. Vertebroplasty and kyphoplasty for treatment of painful osteoporotic compression fractures.J Am Acad Nurse Pract. 2005;17(7):268-76.
- 2. Ross PD. Osteoporosis. Frequency, consequences, and risk factors. Arch Intern Med. 1996 Jul 8;156(13):1399-411.
- 3. Cuénod CA. Acute vertebral collapse due to osteoporosis or malignancy: appearance on unenhanced and gadolinium-enhanced MR images. Radiology. 1996 May;199(2):541-9.
- 4. Yan D. Comparative study of percutaneous vertebroplasty and kyphoplasty in the treatment of osteoporotic vertebral compression fractures. Arch Orthop Trauma Surg. 2011 May;131(5):645-50.
- 5. Zileli, M., and F. Özer. "Omurilik ve omurga cerrahisi."Meta Basım Matbaacılık Hizmetleri, İzmir (2002): 739-46.
- 6. Yakut E, Duger T, Oksuz C, Yorukan S, Ureten K, Turan D et al. Validation of the Turkish version of the Oswestry Disability Index for patients with low back pain. Spine (Phila Pa 1976). 2004 Mar 1;29(5):581-5.
- 7. Chen L, Yang H, Tang T. Unilateral versus bilateral balloon kyphoplasty for multilevel osteoporotic vertebral compression fractures: a prospective study. Spine (Phila Pa 1976). 2011 Apr 1;36(7):534-40.
- 8. Black DM, Arden NK, Palermo L, Pearson J, Cummings SR. Prevalent vertebral deformities predict hip fractures and new vertebral deformities but not wrist fractures. Study of Osteoporotic Fractures Research Group. J Bone Miner Res. 1999 May;14(5):821-8.
- 9. Pradhan BB, Bae HW, Kropf MA, Patel VV, Delamarter RB. Kyphoplasty reduction of osteoporotic vertebral compression fractures: correction of local kyphosis versus overall sagittal alignment. Spine (Phila Pa 1976). 2006 Feb 15;31(4):435-41.
- 10. Belkoff SM, Deramond H, Jasper LE, et al. Biomechanical evaluation of a hydroxyapatite cement for use with vertebroplasty. Presented at the 11th Interdisciplinary Research Conference on March 8, 2001.
- ISSN: 2146-4006
- Yayın Aralığı: Yılda 4 Sayı
- Başlangıç: 2015
- Yayıncı: Bozok Üniversitesi
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