Evaluation of the quality of life after vertebroplasty to treat compressive osteoporotic fractures

Santos, Roberto de Souza; Ribeiro, Julio César Simas; Moraes, Frederico Barra de; Cardoso, André Luiz Passos; Pimenta, Wilson Eloy; Daher, Murilo Tavares

doi:10.1016/j.rboe.2014.08.008

Cited by 2 publications

(1 citation statement)

References 8 publications

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“…2 Vertebroplasty is effective in managing compressive osteoporotic vertebral fractures, with improvement in pain and quality of life in the immediate postoperative period and over the medium term. 3 Meta-analysis showed that PVA could relieve pain and improve spinal function more rapidly and notably than control treatment for osteoporotic vertebral compression fractures throughout 1-year follow-up. [4][5][6] The immediate outcomes of VP are well known, and it provides very important pain control.…”

Section: Discussionmentioning

confidence: 99%

Vertebroplasty and Kyphoplasty in Vertebral Osteoporotic Fractures

Aparisi¹

2016

Semin Musculoskelet Radiol

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Vertebroplasty and kyphoplasty are minimally invasive treatments and indispensable tools in the treatment of osteoporotic compression fractures. This method of treatment is performed using fluoroscopy or a scanner control an access via the pedicle or the posterolateral angle of the vertebral body. Vertebroplasty requires a smaller caliber needle than kyphoplasty, so it is technically easier. Vertebroplasty uses high-pressure injection, whereas in kyphoplasty the injection is held at low pressure, which together with the effect of compression on the bone that the balloon produces reduces the risk and rate of cement leakage. Vertebroplasty is effective in managing osteoporotic compression vertebral fractures, with improvement in pain and quality of life in the immediate postoperative period and over the medium term.Both techniques have a very low complication rate. There is no consensus on whether the emergence of new fractures in the cases treated by vertebroplasty and kyphoplasty are related to mechanical variations that were introduced or is a complication related to the age and evolution of the patient's osteoporosis. Even with this risk of new fractures, the improvement in quality of life obtained after vertebroplasty and kyphoplasty treatment is worthwhile. The benefits outweigh the risks.

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Section: Discussionmentioning

confidence: 99%

Vertebroplasty and Kyphoplasty in Vertebral Osteoporotic Fractures

Aparisi¹

2016

Semin Musculoskelet Radiol

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Prophylactic vertebroplasty procedure applied with a resorbable bone cement can decrease the fracture risk of sandwich vertebrae: long-term evaluation of clinical outcomes

Jia¹,

Tang²,

Chen³

et al. 2016

Regen Biomater

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A sandwich vertebra is formed after multiple osteoporotic vertebral fractures treated by percutaneous vertebroplasty, which has a risk of developing new fractures. The purpose of our study was to (i) investigate the occurrence of new fractures in sandwich vertebra after cement augmentation procedures and to (ii) evaluate the clinical outcomes after prophylactic vertebral reinforcement applied with resorbable bone cement.From June 2011 to 2014, we analysed 55 patients with at least one sandwich vertebrae and treated with percutaneous vertebroplasty. Eighteen patients were treated by prophylactic vertebroplasty with a resorbable bone cement to strengthen the sandwich vertebrae as the prevention group. The others were the non-prevention group. All patients were examined by spinal radiographs within 1 day, 6 months, 12 months, 24 months and thereafter.The incidence of sandwich vertebra is 8.25% (55/667) in our study. Most sandwich vertebrae (69.01%, 49/71) are distributed in the thoracic–lumbar junction. There are 24 sandwich vertebrae (18 patients) and 47 sandwich vertebrae (37 patients) in either prevention group or non-prevention group, respectively. No significant difference is found between age, sex, body mass index, bone mineral density, cement disk leakage, sandwich vertebrae distribution or Cobb angle in the two groups. In the follow-up, 8 out of 37 (21.6%) patients (with eight sandwich vertebrae) developed new fractures in non-prevention’ group, whereas no new fractures were detected in the prevention group. Neither Cobb angle nor vertebral compression rate showed significant change in the prevention group during the follow-up. However, in the non-prevention group, we found that Cobb angle increased and vertebral height lost significantly (P < 0.05).Prophylactic vertebroplasty procedure applied with resorbable bone cement could decrease the rate of new fractures of sandwich vertebrae.

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Evaluation of the quality of life after vertebroplasty to treat compressive osteoporotic fractures

Cited by 2 publications

References 8 publications

Vertebroplasty and Kyphoplasty in Vertebral Osteoporotic Fractures

Vertebroplasty and Kyphoplasty in Vertebral Osteoporotic Fractures

Prophylactic vertebroplasty procedure applied with a resorbable bone cement can decrease the fracture risk of sandwich vertebrae: long-term evaluation of clinical outcomes

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