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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

자료유형
학술저널
저자정보
Son, Seong (Department of Neurosurgery, Gachon University Gil Medical Center) Lee, Sang-Gu (Department of Neurosurgery, Gachon University Gil Medical Center) Kim, Woo-Kyung (Department of Neurosurgery, Gachon University Gil Medical Center) Park, Chan-Woo (Department of Neurosurgery, Gachon University Gil Medical Center) Yoo, Chan-Jong (Department of Neurosurgery, Gachon University Gil Medical Center)
저널정보
대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제56권 제3호
발행연도
2014.1
수록면
211 - 217 (7page)

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Objective : In Korea, early vertebroplasty (EVP) or delayed vertebroplasty (DVP, which is performed at least 2 weeks after diagnosis) were performed for the treatment of acute osteoporotic compression fracture (OCF) of the spine. The present study compared the outcomes of two surgical strategies for the treatment of single-level acute OCF in the thoracolumbar junction (T12-L2). Methods : From 2004 to 2010, 23 patients were allocated to the EVP group (EVPG) and 27 patients to the DVP group (DVPG). Overall mean age was $68.3{\pm}7.9$ and minimum follow-up period was 1.0 year. Retrospective study of clinical and radiological results was conducted. Results : No significant differences in baseline characteristics were observed between the two groups. As expected, mean duration from onset to vertebroplasty and mean duration of hospital stay were significantly longer in the DVPG ($17.1{\pm}2.1$ and $17.5{\pm}4.2$) than in the EVPG ($3.8{\pm}3.3$ and $10.8{\pm}5.1$, p=0.001). Final clinical outcome including visual analogue scale (VAS), Oswestry Disability Index, and Odom's criteria did not differ between the two groups. However, immediate improvement of the VAS after vertebroplasty was greater in the EVPG ($5.1{\pm}1.3$) than in the DVPG ($4.0{\pm}1.0$, p=0.002). The proportion of cement leakage was lower in the EVPG (30.4%) than in the DVPG (59.3%, p=0.039). In addition, semiquantitative grade of cement interdigitation was significantly more favorable in the EVPG than in the DVPG (p=0.003). Final vertebral body collapse and segmental kyphosis did not differ significantly between the two groups. Conclusion : Our findings suggest that EVP achieves a better immediate surgical effect with more favorable cost-effectiveness.
#Osteoporosis #Spine #Compression fracture #Vertebroplasty

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참고문헌 (19)

참고문헌 신청
Alvarez L / 2005 / Predictors of outcomes of percutaneous vertebroplasty for osteoporotic vertebral fractures / Spine (Phila Pa 1976) 30:87~92 google schola Anselmetti GC / 2007 / Pain relief following percutaneous vertebroplasty : results of a series of 283 consecutive patients treated in a single institution / Cardiovasc Intervent Radiol 30:441~447 google schola Barr JD / 2000 / Percutaneous vertebroplasty for pain relief and spinal stabilization / Spine (Phila Pa 1976) 25:923~928 google schola Erkan S / 2009 / Does timing matter in performing kyphoplasty? Acute versus chronic compression fractures / Acta Orthop Belg 75:396~404 google schola Genant HK / 1993 / Vertebral fracture assessment using a semiquantitative technique / J Bone Miner Res 8:1137~1148 google schola

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