Preliminary outcomes and efficacy of the first 360 consecutive kyphoplasties for the treatment of painful osteoporotic vertebral compression fractures.

摘要: Abstract Background context Osteoporosis is a major cause of morbidity in worldwide elderly populations. Patients may become susceptible to vertebral compression fractures (VCFs) from low-impact situations. For patients who have failed conventional, palliative medical therapy, kyphoplasty not only reduces pain associated with fractures, but also offers minimally invasive procedure the potential address fracture reduction and spinal sagittal alignment. Kyphoplasty involves expanding an inflatable balloon tamp create cavity within body before cement deposition. Purpose To evaluate safety efficacy reduce fix painful osteoporotic VCFs. Study design/setting A retrospective, single-arm cohort study consecutive treated at single center. Patient sample Three hundred sixty VCFs were during 254 procedures on 222 (mean age, 76 years [range, 28–98]; 28% male 72% female). Outcome measures Patient-reported ratings examined. Cement extravasation was monitored by intraoperative fluoroscopy postoperative radiographs. Anterior midline height assessed standing, lateral radiographs obtained preoperatively postoperatively. The number returned symptomatic, new monitored. Perioperative complications recorded. Mean follow-up occurred 21 months after (range, 6 through 36 months). Results Immediate relief reported 89% first visit. One patient experienced as result radiculopathy related bone filler leakage into foramen. remaining had persistent diagnosed either or underlying degenerative disc disease. Greater than equal 20% restoration lost (anterior) observed 63% overall mean 30%, ≥20% (midline) detected 69% 50%. In this cohort, 12% (30/254) required additional treat adjacent remote fractures. No device-related occurred. Conclusions safe effective, for VCF. our series we demonstrated some partial correction