Percutaneous Balloon Kyphoplasty Vertebral Augmentation for Compression Fracture Attributable to Vertebral Metastasis: A 12-Month Retrospective Medical Examine in 72 Sufferers.
Med Sci Monit. 2018 Apr 10;24:2142-2148
Authors: Ok?rcelli A, Çöven ?
BACKGROUND Vertebral compression fracture is widespread in osteoporosis, however also can happen on account of bone metastases, for which present therapy choices are restricted and embrace bone-strengthening with cement and supportive care. Kyphoplasty is a surgical methodology of bone augmentation that may scale back ache, stabilize vertebral bone, and restore some or all the vertebral physique top. The intention of this examine was to research the scientific outcomes of balloon kyphoplasty within the correction of vertebral deformity on account of metastatic vertebral compression fracture. MATERIAL AND METHODS A retrospective scientific examine included 72 sufferers (82 vertebral our bodies) with metastases leading to vertebral compression fracture, handled by percutaneous balloon kyphoplasty; 9 sufferers have been discovered by the way to have vertebral metastases. Bone mineral density (BMD) ranges have been measured. Affected person responses from questionnaires, together with the visible analog scale (VAS) for ache depth, and the Oswestry Incapacity Index (ODI) for incapacity, have been scored. The native kyphosis angle (KA) and the vertebral top ratio (VHR) have been measured. All sufferers have been adopted up for 12 months. The preliminary postoperative and 12-month postoperative values, and the preoperative and postoperative values have been in contrast. RESULTS Following balloon kyphoplasty, the KA, VHR, VAS, and ODI scores considerably improved on the remaining 12-month follow-up in contrast with preoperative ranges (p<zero.05, and p<zero.001). There was cement leakage in 6 procedures (eight.three%) and adjoining section fracture in 11 procedures (15.2%). CONCLUSIONS Balloon kyphoplasty was an efficient methodology to cut back ache, scale back incapacity, and enhance high quality of life by eliminating kyphotic deformity in pathological vertebral compression fractures on account of vertebral metastases.
PMID: 29634678 [PubMed – in process]