Correlation evaluation between the magnetic resonance imaging traits of osteoporotic vertebral compression fractures and the efficacy of percutaneous vertebroplasty: a potential cohort research.
BMC Musculoskelet Disord. 2018 Apr 12;19(1):114
Authors: Xu W, Wang S, Chen C, Li Y, Ji Y, Zhu X, Li Z
BACKGROUND: To discover the connection between the magnetic resonance imaging (MRI) traits of osteoporotic vertebral compression fractures (OVCFs) and the efficacy of percutaneous vertebroplasty (PVP).
METHODS: A potential research was carried out to investigate the scientific and imaging knowledge of 93 sufferers with OVCFs handled by way of PVP. A visible analogue scale (VAS), the Oswestry Incapacity Index (ODI), and the Medical Outcomes Research(MOS) 36-Merchandise short-form well being survey (SF-36) had been accomplished earlier than surgical procedure in addition to 1 day and 1, 6, and 12 months after surgical procedure. As well as, postoperative issues had been recorded. In response to the diploma and ranges of bone marrow edema on MRI, the sufferers had been divided into three teams: the gentle (group A), reasonable (group B), and extreme (group C) bone marrow edema teams. Ache and dysfunction scores had been in contrast throughout the three teams of sufferers earlier than surgical procedure in addition to 1 day and 1, 6, and 12 months after surgical procedure.
RESULTS: The VAS, ODI, and SF-36 scores confirmed important variations (P?<?zero.05) earlier than and after surgical procedure among the many three teams. The ODI and SF-36 scores had been considerably totally different (P?<?zero.05) at 1 day and 1 month after surgical procedure among the many three teams. Teams A and B confirmed considerably higher ache aid than group C. Group B skilled higher ache aid than group A. These outcomes point out that PVP was related to higher ache aid results amongst sufferers with a better extent of bone marrow edema. The edema ranges of the vertebral fractures had been negatively correlated with the postoperative VAS and ODI scores 1 month after surgical procedure, whereas the ranges had been positively correlated with postoperative SF-36 scores 1 month after surgical procedure.
CONCLUSIONS: PVP is an efficient remedy for OVCFs. Higher outcomes had been noticed amongst sufferers with extreme or reasonable bone marrow edema quite than these with gentle bone marrow edema. A better diploma of ache aid after PVP was correlated with quicker restoration of the postoperative perform. Nonetheless, this correlation regularly grew to become weak over time and disappeared 6 months after surgical procedure. Due to this fact, PVP needs to be an choice for early stage OVCFs, particularly amongst sufferers with bone marrow edema indicators on MRI.
PMID: 29650014 [PubMed – in process]