Percutaneous vertebro- and kyphoplasty: a regional experience
DOI:
https://doi.org/10.25305/unj.78769Keywords:
compression fracture, vertebroplasty, kyphoplastyAbstract
Purpose of the study. Identify the dynamics of pain in patients after percutaneous vertebro- and kyphoplasty (VP and KP) due to different cause of vertebrae compression.
Materials and methods. During 2012–2015 we operated 41 patients (24 men and 17 women) using KP, and 245 patients (90 and 155 respectively) by VP. Main cause for operation was compression fracture. All patients were been sent a questionnaire, in which we asked to rate their pain on a VAS (visual analogue scale) before the operation and at the time of the survey. Answer was been received back from only 6 people who underwent KP and 36 — from the patients, there VP was performed.
Results and discussion. In the group of KP patients VAS before the surgery was 8,67±0,91, after surgery — 2±2,93. Median time from operation to questionnaire was 1,5±0,8 years.
VP patients: index VAS before the surgery was 8,54±1,43. After the operation — 3,82±2,99. Catamnesis on average — 1,28±1,33 years.
In 6 cases using KP and 32 VP was cement leakage outside from the vertebral body, in 2 cases in the spinal canal. This complication did not lead to serious consequences, and proceeded asymptomatic. We noted a significant reduction of cement leakage after using VertaPlex cement.
We started to take up patients after 2-3 hours after operation, allowed to walk same day, with discharge from the department next day. Complications associated with early activation of patients was not been noted.
A significant increase of the number of KP and VP for the past two years is due to the intensive work, made by our clinic, on the information for doctors and patients, which improve their knowing of this pathology and its treatment methods.
Conclusions. Percutaneous vertebro and kyphoplasty is an effective methods of pain treatment, which considerably and rapidly improve the condition of patients in the long term.
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Copyright (c) 2016 Valeriy Olkhov, Kostyantyn Horbatyuk, Vladimir Kirichenko, Oleksandr Lemeshov, Dmitrii Maystruk
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