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Journals / Journal of Turkish Spinal Surgery / 2017 / Cilt: 28 - Sayı: 2

SPONTAN VERTEBRA KIRIĞI OLAN OSTEOPOROTİK HASTALARDA BALON KİFOPLASTİ

BALLOON KYPHOPLASTY IN OSTEOPOROTIC PATIENTS WITH SPONTANEOUS VERTEBRAL COMPRESSION FRACTURES

Emre DEMİRÇAY
Atilla KIRCELLI
Pages
113–118
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: Balloon kyphoplasty is an effective and safe procedure that can provide early pain relief, improve function and correct the deformity in spontaneous osteoporotic vertebral body fractures

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: The purpose of this study is to assess the outcomes of our patients who underwent balloon kyphoplasty for spontaneous osteoporotic vertebral fractures regarding pain relief, correction of the vertebral body height, and complications such as adjacent segment vertebral fracturesMaterial and Methods: We retrospectively evaluated 63 consecutive patients (74 vertebral bodies) with vertebral body compression fracture who were treated by balloon kyphoplasty.
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Key Findings & Data:Local kyphosis angle (KA), and the rate of vertebral height loss (VHL) were measured.
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Conclusion & Impact:Conclusion: Balloon kyphoplasty is an effective and safe procedure that can provide early pain relief, improve function and correct the deformity in spontaneous osteoporotic vertebral body fractures
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: The purpose of this study is to assess the outcomes of our patients who underwent balloon kyphoplasty for spontaneous osteoporotic vertebral fractures regarding pain relief, correction of the vertebral body height, and complications such as adjacent segment vertebral fracturesMaterial and Methods: We retrospectively evaluated 63 consecutive patients (74 vertebral bodies) with vertebral body compression fracture who were treated by balloon kyphoplasty. Patients’ body mass index (BMI), bone mineral density (BMD), level(s) of the fractured vertebrae, visual analog scale (VAS) for pain intensity were noted. Local kyphosis angle (KA), and the rate of vertebral height loss (VHL) were measured. Oswestry disability index (ODI) was used to assess the disability. All the patients had a minimum follow-up of 12 monthsResults: KA and VHL as well as VAS and ODI scores significantly improved at the final follow-up (p < 0.05, p < 0.001 respectively). There were cement leakage in 5 procedures (6.7 %) and 11 (14.8 %) adjacent segment fractures (ASF) were detected during the follow-up. Conclusion: Balloon kyphoplasty is an effective and safe procedure that can provide early pain relief, improve function and correct the deformity in spontaneous osteoporotic vertebral body fractures

Özet

Giriş: Bu çalışmanın amacı balon kifoplasti yapılan spontan osteoporotik vertebra kırıklı hastaların; ağrının giderilmesi, vertebral gövde yüksekliğinin düzeltilmesi ve komşu segment kırıkları gibi komplikasyonlar açısından değerlendirilmesidir.Materyal-Metot: Balon kifoplasti ile tedavi edilmiş vertebral gövde kompresyon kırıklı 63 hasta (74 vertebral seviye) geriye dönük olarak incelendi. Hastaların vücut kitle indeksi (BMI), kemik mineral yoğunluğu (BMD), kırık vertebraların seviyeleri kaydedildi. Lokal kifoz açısı (KA), ve vertebral gövde yükseklik kayıp oranı (VHL) ölçüldü. Klinik değerlendirmede ağrı için görsel analog çizelge (VAS) skorları ve Oswestry sakatlık skoru (ODI) kullanıldı. Tüm hastaların en az 12 aylık takipleri kaydedildi.Sonuçlar: Hem KA ve VHL, hem de VAS ve ODI skorlarında son kontrolde anlamlı olarak düzelme görüldü (p < 0.05, p < 0.001). Takip süresince 5 (% 6.7) seviyede sement kaçağı ve 11 (% 14.8) komşu segment kırığı (ASF) tespit edildi.Sonuç: Balon kifoplasti, osteoporotik vertebral gövde kırıklarında, erken ağrı kontrolü, fonksiyonun geri kazanımı ve deformiteyi düzeltmede etkili ve güvenli bir yöntemdir

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Cite This Article

DEMİRÇAY, E., KIRCELLI, A. (2017). SPONTAN VERTEBRA KIRIĞI OLAN OSTEOPOROTİK HASTALARDA BALON KİFOPLASTİ. Journal of Turkish Spinal Surgery, Cilt: 28 - Sayı: 2, 113–118. https://ajindex.com/articles/201069

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