Vertebroplasty and vertebral body stenting in treatment of osteoporotic vertebral fractures
Authors:
M. Mrůzek 1; M. Litschmannová 2; T. Paleček 1; R. Lipina 1
Authors‘ workplace:
Neurochirurgická klinika FN, Ostrava
Přednosta: doc. MUDr. Radim Lipina, PhD.
1; VŠB Technická Univerzita Ostrava
Fakulta elektrotechniky a informatiky
Katedra aplikované matematiky
Vedoucí: doc. RNDr. Jiří Bouchala, Ph. D.
2
Published in:
Prakt. Lék. 2016; 96(2): 62-70
Category:
Of different specialties
Overview
The authors evaluated effect of vertebroplasty and vertebral body stenting in treatment of osteoporotic vertebral fractures, in three years follow up. In both groups ODI and VAS score were evaluated, and height of vertebra was measured after the operation. In both groups ODI and VAS values decreased, and a statistically significant difference in values in favour stentoplasty was found. In both groups, there was an increase in the height of the vertebral body in the front and middle parts, in the three-year period there was a statistically significant difference in keeping the height of the vertebral body in favour of stentoplasty. Authors evaluate the both methods as effective in the treatment of osteoporotic vertebral fractures. In terms of pain reduction and vertebral body reposition, stentoplasty is considered as more beneficial. The authors evaluate both methods as safe, minimal number of complications was recorded.
Keywords:
osteoporotic fracture – surgical treatment – vertebroplasty – vertebral body stenting
Sources
1. Bae H, Shen M, Maurer P, et al. Clinical experience using Cortoss for treating vertebral compression fractures with vertebroplasty and kyphoplasty. Spine 2010; 35(20): E1030–E1036.
2. Bliuc D, Nguyen ND, Milch VE, et al. Mortality risk associated with low-trauma osteoporotic fracture and subsequent fracture in men and women. JAMA 2009; 301(5): 513–521.
3. Buchbinder R, Osborn HR, Ebeling RP, et al. A randomized trial of vertebroplasty for painful osteoporotic vertebral fractures. N Engl J Med 2009; 361: 557–568.
4. Burton WA, Rhines LD, Mendel E. Vertebroplasty and kyphoplasty: a comprehensive review. Neurosurg Focus 2005; 18: 1–8.
5. Deramond H, Mathis J. Vertebroplasty in osteoporosis. Semin Musculoskelet Radiol 2002; 6: 263–268.
6. Diamond TH, Champion B, Clark WA. Management of acute osteoporotic vertebral fractures: a nonrandomized trial comparing percutaneous vertebroplasty with conservative therapy. Am J Med 2003; 114: 257–265.
7. Fairbank JCT, Pynsent PB. The Oswestry disability index. Spine 2000; 25: 2940–2953.
8. Hawker AG, Mian S, Kendzerska T, French M. Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthritis Care Res 2011; 63(Suppl 11): S240–252.
9. Heini PF. Vertebroplasty: an update: value of percutaneous cement augmentation after randomized, placebo-controlled trials. Orthopade 2010; 39(7): 658–664.
10. Hrabálek L, Starý M, Rosík S, Wanek T. Chirurgická léčba symptomatických obratlových hemangiomů. Rozhl Chir 2011; 90(5): 264–269.
11. Jerie M, Vymazal J, Kříž R, a kol. Komplikace perkutánní kyfoplastiky. Neurol pro praxi 2011; 12: 59–62.
12. Kim DH, Vaccaro AR. Osteoporotic compression fractures of the spine; current options and considerations for treatment. Spine J 2006; 6(5): 479–487.
13. Kim HK, Kuh US, Chin KD, et al. Kyphoplasty versus vertebroplasty. Restoration of vertebral body height and correction of kyphotic deformity with special attention to the Shape of the fractured vertebrae. J Spinal Disord Tech 2011; 25(6): 1–6.
14. Rothermich AM, Buchowski MJ, Bumpass BD, Patterson AG. Pulmonary cement embolization after vertebroplasty requiring pulmonary wedge resection. Clin Orthop Relat Res 2014; 472(5): 1652–1657.
15. Rousing R, Andersen MO, Jespersen MS, et al. Percutaneous vertebroplasty compared to conservative treatment in patients with painful acute or subacute osteoporotic vertebral fractures. Spine 2009; 34(13): 1349–1354.
16. Ryška P, Málek V, Kaltofen K, a kol. Postavení perkutánní kyfoplastiky při léčbě osteoporotických zlomenin páteře. Ces Radiol 2007; 61(2): 184–188.
17. Shapiro S, Abel T, Purvines S. Surgical removal of epidural and intradural polymethylmetacrylate extravasation complicating percutaneous vertebroplasty for an osteoporotic lumbar compression fracture. J Neurosurg 2003; 98(1 Suppl): 90–92.
18. Shindle MK, Gardner MJ, Koob J, et al. Vertebral height restoration in osteoporotic compression fractures: kyphoplasty balloon tamp is superior to postural correction alone. Osteoporos Int 2006; 17(12): 1815–1819.
19. Schmidt R, Cakir B, Mattes T, et al. Cement leakage during vertebroplasty: an underestimated problem? Eur Spine J 2005; 14(5): 466–473.
20. Včelák J, Tóth L, Šlégl M, a kol. Vertebroplastika a kyfoplastika-metoda léčby osteoporotických zlomenin páteře. Acta Chir ortop Traumatol čech 2009; 76: 54–59.
21. Voggenreiter G. Balloon kyphoplasty is effective in deformity correction of osteoporotic vertebral compression fractures. Spine 2005; 30(24): 2806–2812.
22. Voormolen MH, Mali WP, Lohle PN, et al. Percutaneous vertebroplasty compared with optimal pain medication treatment: short term clinical outcome of patients with subacute or chronic painful osteoporotic vertebral compression fractures. AJNR Am J Neuroradiol 2007; 28(3): 555–560.
23. Wats NB. Is percutaneous vertebral augmentation effective treatment for painful vertebral fractures? Am J Med 2003; 114(4): 326–328.
24. Yeom JS, Kim WJ, Choy WS, et al. Leakage of cement in percutaneous transpedicular vertebroplasty for painful osteoporotic compression fractures. J Bone Jt Surg Br 2003; 85(1): 83–89.
Labels
General practitioner for children and adolescents General practitioner for adultsArticle was published in
General Practitioner
2016 Issue 2
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