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[Osteoporotic vertebral fractures in the elderly: are conventional radiographs useful? – clinical and radiographic results after kyphoplasty]

AIM: In a retrospective study we examined the reliability of conventional radiographs to detect osteoporotic vertebral fractures. Furthermore, we analysed clinical and radiological results 4 weeks and one year after balloon kyphoplasty. MATERIAL AND METHODS: Between April 2007 and December 2008, 68 patients with 77 vertebral fractures were allocated to kyphoplasty. All patients could be evaluated 4 weeks after the operation and 50 patients (74%) for the one-year follow-up. In all patients conventional radiographs of the spine were performed. Persisting or increasing pain after one week led to an MRI. Under consideration of the pain situation and the result of the MRI a balloon kyphoplasty was performed. RESULTS: In 19 patients (25.3%) a cement leakage without any neurological symptoms was observed. After the operation we did not find any neurological disturbances, infection or haematoma. 13 thoracic spine fractures (38%) and 21 lumbar spine fractures (51%) could not be detected with conventional X-rays and could be observed only with the MRI. Preoperatively the kyphosis angle was measured with 13.3 degrees , 4 weeks after the operation it was 5.2 degrees (p = 0.001) and one year after the surgical procedure 4.8 degrees . After kyphoplasty, the compression index was improved with 26% (p Keywords : Aged,Aged,80 and over,diagnosis,Female,Humans,Infection,Kyphoplasty,Kyphosis,Magnetic Resonance Imaging,Male,methods,Middle Aged,Osteoporosis,Osteoporotic Fractures,Pain,Patients,Reproducibility of Results,Retrospective Studies,Sensitivity and Specificity,Spinal Fractures,Spine,surgery,Treatment Outcome,X-Ray Film,, Vertebral,Fractures,Elderly, pain relief pen

Date of Publication : 2010 Dec

Authors : Wick M;Petraschka C;Kronawitter P;Cidlinsky K;Heyer C;

Organisation : Chirurgie, Rottal-Inn Kliniken Standort Eggenfelden. [email protected]

Journal of Publication : Z Orthop Unfall

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/21161869

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