Percutaneous Vertebroplasty for the Therapy of Osteoporotic Thoracolumbar Fractures with Posterior Physique Concerned in Aged Sufferers.
Turk Neurosurg. 2018 Might 04;:
Authors: Ozsoy KM, Oktay Ok, Gezercan Y, Cetinalp NE, Okten AI, Erman T
AIM: The administration of thoracolumbar burst fractures with out neurological signs stays controversial. Sure authors have recommended that vertebroplasty and kyphoplasty are contraindicated in sufferers with burst fractures. Nevertheless, we carried out vertebroplasty to deal with intractable ache, cut back surgical threat and obtain early mobilization.
MATERIAL AND METHODS: Twelve sufferers older than 65 years of age with thoracolumbar fractures with out neurological deficits underwent vertebroplasty. In all fractures, the anterior and center columns of the vertebrae had been affected, and the canal was mildly compressed. To evaluate topics’ medical signs and the consequences of the process, the sufferers’ mobility and ache had been assessed previous to the process and at 1 day and three months following the process.
RESULTS: Enhancements in ache and mobility had been noticed instantly following vertebroplasty in all sufferers. These outcomes persevered for three months. There have been important enhancements at 1 day and three months after vertebroplasty, particularly ache was decreased by no less than four ranges at three months. No comorbidities had been famous. Nevertheless, tomography revealed proof of polymethylmethacrylate leakage by way of the endplate fracture website into the disc house or the paravertebral house in four vertebrae and minimal intracanal leakage by way of the fracture tract in 1 affected person.
CONCLUSION: Though vertebroplasty is assumed to be contraindicated in osteoporotic thoracolumbar fractures with posterior physique concerned, we efficiently used this process to securely deal with such fractures with out introducing neurological deficits. Percutaneous vertebroplasty could also be an alternate technique of treating thoracolumbar burst fractures that avoids the problems of main surgical procedures and achieves early mobilization and ache reduction.
PMID: 29806075 [PubMed – as supplied by publisher]