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논문 기본 정보

자료유형
학술저널
저자정보
Ramy Hegazy (Menoufia Faculty of Medicine Hospital Menoufia University College of Medicine) 이륭기 (경일대학교 석사과정)
저널정보
대한척추외과학회 Asian Spine Journal Asian Spine Journal Vol.13 No.3
발행연도
2019.1
수록면
459 - 467 (9page)

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Study Design: Retrospective study. Purpose: The study aims to assess the effectiveness and safety of radiofrequency (RF) kyphoplasty in the treatment of vertebral compression fractures (VCFs) in osteoporotic patients. Overview of Literature: Vertebroplasty and balloon kyphoplasty are established procedures for the treatment of osteoporotic VCFs. However, RF kyphoplasty is a new method which controls cement viscosity. Methods: We reviewed the results of 41 consecutive patients with 23 thoracic and 38 lumbar VCFs who underwent RF kyphoplasty. The study population included 14 males (34%) and 27 females (66%). The mean patients age was 78 years (range, 51–89 years), and the follow-up period was 1 year. Clinical and radiographic analyses were performed during follow-up at 6 weeks, 6 months, and 1 year. All patients were assessed clinically pre- and postoperative using the Visual Analog Scale (VAS) and Oswestry Disability Index (ODI). Radiological assessment with X-ray in two views preoperatively, postoperatively, and during follow-up visits. Results: The mean preoperative VAS was 8.7 (range, 5–10; standard deviation [SD], 1.2). Postoperatively, VAS decreased by 3.3 (range, 2–5; SD, 0.9). At the end of the follow-up, VAS decreased by 1.22 (range, 0–7; SD, 1.6). The mean preoperative ODI score was 85.9, decreasing to 9.6 postoperatively and improving to 18.4 during the 1-year follow-up. The mean local kyphotic angle was 9.04° before the procedure and decreased by a mean of 6.16° after the operation and at the end of the follow-up. The mean increase in vertebral body height was 3.3 mm postoperatively and after 1-year follow-up. The rate of cement leakage was 8% (five out of 61 levels of fracture). Conclusions: RF kyphoplasty is a safe and effective augmentation technique with an advantage of controlling the cement viscosity to minimize the risk of cement leakage. It also shortens operation time.
#Vertebral fractures #Osteoporosis #Radiofrequency #Kyphoplasty

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참고문헌 (20)

참고문헌 신청
Johnell O / 2006 / An estimate of the worldwide prevalence and disability associated with osteoporotic fractures / Osteoporos Int 17:1726~1733 google schola Rzewuska M / 2015 / The efficacy of conservative treatment of osteoporotic compression fractures on acute pain relief : a systematic review with meta-analysis / Eur Spine J 24:702~714 google schola Feltes C / 2005 / Immediate and early postoperative pain relief after kyphoplasty without significant restoration of vertebral body height in acute osteoporotic vertebral fractures / Neurosurg Focus 18:e5 google schola Cloft HJ / 2007 / Kyphoplasty : an assessment of a new technology / AJNR Am J Neuroradiol 28:200~203 google schola La Maida GA / 2012 / Cement leakage : safety of minimally invasive surgical techniques in the treatment of multiple myeloma vertebral lesions / Eur Spine J 21:S61~S68 google schola

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