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[Analysis of clinical outcome of kyphoplasty on costal pain related to thoracic osteoporotic compression fractures].
Zhongguo Gu Shang. 2017 Sep 25;30(9):823-827
Authors: Tang XS, Tan MS, Yi P, Yang F, Zhao H, Yu X
Summary
OBJECTIVE: To investigate the medical end result of kyphoplasty on costal ache which develops following thoracic osteoporotic compression fractures and consider the components associated to costal ache.
METHODS: From Might 2014 to Might 2016, a complete of 188 sufferers with thoracic osteoporotic compression fractures present process kyphoplasty have been reviewed retrospectively. The sufferers have been divided into two teams: the costal ache group included sufferers who had costal ache after a vertebral fracture and the no costal ache group included sufferers with out costalgia. Visible analogue scale(VAS)and Oswestry Incapacity Index(ODI)of all sufferers have been measured preoperatively and three days, 1 month, 6 months postoperatively respectively. Gender, age, the fracture stage, bone mineral density, vertebral physique fracture kind, and fracture severity have been in contrast between two teams, and the causes of costal ache have been analyzed.
RESULTS: Amongst 188 sufferers, 38 sufferers (20.2%) complained of costal ache with again ache. The imply follow-up time was eight.three months (ranged from 6 to 15 months). The VAS and ODI rating of two teams decreased after operation, and there was important distinction between pre-operation and post-operation(P<zero.05). There was important distinction in VAS rating and ODI rating between two teams at three days and 1 month postoperatively (P<zero.05). There was no important distinction in VAS rating and ODI rating between two teams at 6 months postoperatively (P<zero.05). The incidence of applanation-type deformity and extreme fracture within the costal group have been larger. The fracture kind and fracture severity confirmed considerably distinction between two teams(P<zero.05).
CONCLUSIONS: The fracture kind and fracture severity had important relation to costal ache of thoracic osteoporotic compression fractures. The kyphoplasty impact on costal ache is probably not efficient, particularly throughout early post-operation interval.
PMID: 29455483 [PubMed – in process]