지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2008.1
- 수록면
- 1,005 - 1,010 (6page)
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초록· 키워드
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Few studies have been conducted to explain the pain patterns resulting from osteoporotic vertebral compression fractures (OVCF). We analyzed pain patterns to elucidate the pain mechanism and to provide initial guide for the management of OVCFs. Sixty-four patients underwent percutaneous vertebroplasty (N=55) or kyphoplasty (N=9). Three pain patterns were formulized to classify pains due to OVCFs: midline paravertebral (Type A), diffuse paravertebral (Type B), and remote lumbosacral pains (Type C). The degree of compression was measured using scale of deformity index, kyphosis rate, and kyphosis angle. Numerical rating scores were serially measured to determine the postoperative outcomes. As vertebral body height (VBH) decreased, paravertebral pain became more enlarged and extended anteriorly (p<0.05). Type A and B patterns significantly showed the reverse relationship with deformity index (p<0.05), yet Type C pattern was not affected by deformity index. Postoperative pain severity was significantly improved (p<0.05), and patients with a limited pain distribution showed a more favorable outcome (p<0.05). The improvement was closely related with the restoration of VBH, but not with kyphosis rate or angle. Thus, pain pattern study is useful not only as a guide in decision making for the management of patients with OVCF, but also in predicting the treatment outcome.
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참고문헌 (32)
참고문헌 신청
Melton LJ 3rd / 2006 / Epidemiology of vertebral fractures: implications for vertebral augmentation / Acad Radiol 13:538~545
Wasnich U / 1996 / Vertebral fracture epidemiology / Bone 18:1791~1796
Ross PD. / 1997 / Clinical consequences of vertebral fractures / Am J Med 103:30~42
Galibert P / 1990 / Percutaneous acrylic vertebroplasty as a treatment of vertebral angioma as well as painful and debilitating diseases / Chirurgie 116:326~334
Jensen ME / 1997 / Percutaneous polymethylmethacrylate vertebroplasty in the treatment of osteoporotic vertebral body compression fractures: technical aspects / Am J Neuroradiol 18:1897~1904
Wasnich U / 1996 / Vertebral fracture epidemiology / Bone 18:1791~1796
Ross PD. / 1997 / Clinical consequences of vertebral fractures / Am J Med 103:30~42
Galibert P / 1990 / Percutaneous acrylic vertebroplasty as a treatment of vertebral angioma as well as painful and debilitating diseases / Chirurgie 116:326~334
Jensen ME / 1997 / Percutaneous polymethylmethacrylate vertebroplasty in the treatment of osteoporotic vertebral body compression fractures: technical aspects / Am J Neuroradiol 18:1897~1904
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