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Osteoporotic vertebral compression fractures with an intravertebral cleft treated by percutaneous balloon kyphoplasty

We investigated the safety and efficacy of treating osteoporotic vertebral compression fractures with an intravertebral cleft by balloon kyphoplasty. Our study included 27 patients who were treated in this way. The mean follow-up was 38.2 months (24 to 54). The anterior and middle heights of the vertebral body and the kyphotic angle were measured on standing lateral radiographs before surgery, one day after surgery, and at final follow-up. Leakage of cement was determined by CT scans. A visual analogue scale and the Oswestry disability index were chosen to evaluate pain and functional activity. Statistically significant improvements were found between the pre- and post-operative assessments (p < 0.05) but not between the post-operative and final follow-up assessments (p > 0.05). Asymptomatic leakage of cement into the paravertebral vein occurred in one patient, as did leakage into the intervertebral disc in another patient. We suggest that balloon kyphoplasty is a safe and effective minimally invasive procedure for the treatment of osteoporotic vertebral compression fractures with an intravertebral cleft

Keywords : Aged,Aged,80 and over,China,complications,diagnostic imaging,Disability Evaluation,etiology,Female,Fractures,Compression,Humans,Intervertebral Disc,Kyphoplasty,Magnetic Resonance Imaging,Male,methods,Middle Aged,Minimally Invasive Surgical Procedures,Osteoporosis,Pain,Patients,Safety,Spinal Fractures,surgery,Tomography,X-Ray Computed,Treatment Outcome,, Vertebral,Compression,Fractures,With, back specialist london

Date of Publication : 2010 Nov

Authors : Wang G;Yang H;Chen K;

Organisation : Department of Orthopaedics, The First Affiliated Hospital of Soochow University, 188 Shizi Street, Suzhou, Jiangsu Province 215006, China

Journal of Publication : J Bone Joint Surg Br

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/21037351

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