scholarly journals Clinical Study to Determine the Efficacy of Percutaneous Vertebroplasty in Management of Osteoporotic Compression Fracture

2021 ◽  
Keyword(s):  
Clinical Study ◽  
Percutaneous Vertebroplasty ◽  
Compression Fracture ◽  
Osteoporotic Compression Fracture

Intravertebral vacuum phenomenon in osteoporotic compression fracture: report of 67 cases with quantitative evaluation of intravertebral instability

2004 ◽  
Vol 100 (1) ◽  
pp. 24-31 ◽  
Author(s):  
Dong-Yun Kim ◽  
Sang-Ho Lee ◽  
Jee Soo Jang ◽  
Sang Ki Chung ◽  
Ho-Yeon Lee
Keyword(s):  
Percutaneous Vertebroplasty ◽  
Compression Fracture ◽  
Control Group ◽  
Stable Group ◽  
Duration Of Symptoms ◽  
Content Type ◽  
Osteoporotic Compression Fracture ◽  
Vacuum Phenomenon ◽  
Flexion Extension ◽  
Fine Print

Object. The objectives of this study were to: 1) describe the incidence and clinical features of intravertebral vacuum phenomenon (IVVP) in a relatively large number of cases; 2) quantitatively evaluate intravertebral instability and determine the factors affecting instability; and 3) evaluate the efficacy of percutaneous vertebroplasty in the treatment of this phenomenon. Methods. A retrospective review was conducted of the records of 67 patients with IVVP among 652 consecutive cases of osteoporotic compression fracture. Comparisons between the IVVP group and a control group, a stable group, and an unstable group were conducted. Percutaneous vertebroplasty was performed in all patients. There were 67 patients (10.3%) in whom there were 70 vacuum phenomena of the intravertebral space. Intravertebral vacuum phenomena occurred predominantly in the thoracolumbar junction (81%) and in patients with a longer duration of symptoms (10.6 ± 9.8 months) compared with the control group. Of 59 vertebrae for which flexion—extension radiographs were available, 26 vertebrae were categorized as stable and 33 as unstable. Twenty-one vertebrae (64%) had undergone compression fracture in the unstable group compared with nine (35%) compression fractures in the stable group. There were 28 (85%) fractures of the wedged vertebrae in the unstable group compared with 16 (61%) fractures in wedged vertebrae in the stable group. Percutaneous vertebroplasty was performed with successful clinical outcome. Conclusions. Intravertebral vacuum phenomenon is more common than has been previously appreciated. The results of this study indicate that biomechanics, not ischemic or avascular theory, may play an important role in pathogenesis of this phenomenon. Percutaneous vertebroplasty was found to be a minimally invasive and effective procedure for the treatment of IVVP.

scholarly journals The Effectiveness of the Amount of Polymethylmethacrylate In The Treatment of Osteoporotic Compression Fracture of The Lumbar Vertebrae

2020 ◽  
Author(s):  
Mehmet Onur Yüksel ◽  
Serdar Çevik ◽  
Barış Erdoğan ◽  
Salim Katar ◽  
Tamer Tunçkale ◽  
...  
Keyword(s):  
Visual Analogue Scale ◽  
Pain Control ◽  
Analogue Scale ◽  
Percutaneous Vertebroplasty ◽  
Lumbar Vertebrae ◽  
Compression Fracture ◽  
Lumbar Vertebra ◽  
Vertebral Height ◽  
Osteoporotic Compression Fracture ◽  
The Mean

Objective: We aimed to investigate the effectiveness of the amount of polymethylmethacrylate used in pain control and maintenance of long-term vertebra corpus height in patients undergoing percutaneous vertebroplasty due to osteoporotic compression fracture of the lumbar vertebra. Method: A total of 60 patients who underwent unilateral percutaneous vertebroplasty between 2014 and 2019 due to osteoporotic compression fracture of the lumbar vertebrae were included in the study. Patients who received 5 ml and 3 ml cement injection were retrospectively analyzed. Of patients, postoperative visual analogue scale (VAS) score and anterior vertebral height of the patients at 1st-year control were evaluated. Results: In the postoperative period, the mean visual analogue scale score was 2.3±0.46 in the 5 ml injected group and 2.2±0.4 in the 3 ml injected group (p5 ml=0.001, p3 ml= 0.001). There was a statistically significant decline in pain control in both groups. The mean anterior vertebral height loss (AVHL) in the 5 ml injected group was 31.5±0.40%, and 32.6±0.47% in the 3 ml injected group (p5 ml=0.820, p3ml= 0.870). There was no statistically significant alteration in both groups. Conclusion: Our results indicate that the 3 ml polymethylmethacrylate injection during the percutaneous vertebroplasty procedure provides adequate pain control and stabilization in patients with lumbar vertebral osteoporotic fracture. Therefore we think that small amount of polymethylmethacrylate (3 ml) is sufficient to avoid undesirable complications in this patient group.

Post-operatively back muscle exercise after percutaneous vertebroplasty for spinal osteoporotic compression fracture

Bone ◽  
2010 ◽  
Vol 47 ◽  
pp. S453
Author(s):  
Bailing Chen ◽  
Yangliang Huang ◽  
Yiqiang Li ◽  
Yuanhua Zhang ◽  
Denghui Xie ◽  
...  
Keyword(s):  
Percutaneous Vertebroplasty ◽  
Compression Fracture ◽  
Muscle Exercise ◽  
Back Muscle ◽  
Osteoporotic Compression Fracture
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