KYPHOPLASTY AND VERTEBROPLASTY IN THE TREATMENT OF OSTEOPOROTIC VERTEBRAL FRACTURES

ABSTRACT Objective: To compare these procedures in the treatment of osteoporotic vertebral compression fractures. Methods: Patients who underwent vertebral augmentation procedures between March 2010 and October 2016 were selected for the study. Kyphosis, anterior vertebral height, Oswestry Disabil...

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Main Authors: García Ortiz Uriel Nahum, Fuentes Rivera Miguel Ángel, González Moga Amado, Santos Benitez Hugo Alberto
Format: Article
Language:English
Published: Sociedade Brasileira de Coluna (SBC)
Series:Coluna/Columna
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512018000200124&lng=en&tlng=en
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author García Ortiz Uriel Nahum
Fuentes Rivera Miguel Ángel
González Moga Amado
Santos Benitez Hugo Alberto
author_facet García Ortiz Uriel Nahum
Fuentes Rivera Miguel Ángel
González Moga Amado
Santos Benitez Hugo Alberto
author_sort García Ortiz Uriel Nahum
collection DOAJ
description ABSTRACT Objective: To compare these procedures in the treatment of osteoporotic vertebral compression fractures. Methods: Patients who underwent vertebral augmentation procedures between March 2010 and October 2016 were selected for the study. Kyphosis, anterior vertebral height, Oswestry Disability Index (ODI), Visual Analog Scale (VAS), number of portals, cement volume, and complications were recorded. The results were analyzed by difference of the means. Results: Sixty-eight patients were selected, accounting for 105 procedures. A statistically significant improvement was observed in VAS and ODI with both procedures (p<0.001) without statistically significant difference between them, regardless of the number of portals or cement applied. There was a high correlation between kyphosis correction and ODI improvement (p =0.012). Conclusions: Both vertebroplasty and kyphoplasty are effective procedures for the treatment of vertebral compression fractures. We found no significant difference between both procedures. The high correlation between improvement of kyphosis and ODI suggests that these procedures are better than conservative treatment to improve the quality of life of patients, however more studies are required to reach a final conclusion. Level of Evidence III; Retrospective comparative study.
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spelling doaj.art-b8749ccd2b6e43bbb5be923bb7e392dd2022-12-21T20:39:31ZengSociedade Brasileira de Coluna (SBC)Coluna/Columna2177-014X17212412810.1590/s1808-185120181702189429S1808-18512018000200124KYPHOPLASTY AND VERTEBROPLASTY IN THE TREATMENT OF OSTEOPOROTIC VERTEBRAL FRACTURESGarcía Ortiz Uriel NahumFuentes Rivera Miguel ÁngelGonzález Moga AmadoSantos Benitez Hugo AlbertoABSTRACT Objective: To compare these procedures in the treatment of osteoporotic vertebral compression fractures. Methods: Patients who underwent vertebral augmentation procedures between March 2010 and October 2016 were selected for the study. Kyphosis, anterior vertebral height, Oswestry Disability Index (ODI), Visual Analog Scale (VAS), number of portals, cement volume, and complications were recorded. The results were analyzed by difference of the means. Results: Sixty-eight patients were selected, accounting for 105 procedures. A statistically significant improvement was observed in VAS and ODI with both procedures (p<0.001) without statistically significant difference between them, regardless of the number of portals or cement applied. There was a high correlation between kyphosis correction and ODI improvement (p =0.012). Conclusions: Both vertebroplasty and kyphoplasty are effective procedures for the treatment of vertebral compression fractures. We found no significant difference between both procedures. The high correlation between improvement of kyphosis and ODI suggests that these procedures are better than conservative treatment to improve the quality of life of patients, however more studies are required to reach a final conclusion. Level of Evidence III; Retrospective comparative study.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512018000200124&lng=en&tlng=enCifoplastiaVertebroplastiaFracturas de la columna vertebralOsteoporosisFracturas osteoporóticas
spellingShingle García Ortiz Uriel Nahum
Fuentes Rivera Miguel Ángel
González Moga Amado
Santos Benitez Hugo Alberto
KYPHOPLASTY AND VERTEBROPLASTY IN THE TREATMENT OF OSTEOPOROTIC VERTEBRAL FRACTURES
Coluna/Columna
Cifoplastia
Vertebroplastia
Fracturas de la columna vertebral
Osteoporosis
Fracturas osteoporóticas
title KYPHOPLASTY AND VERTEBROPLASTY IN THE TREATMENT OF OSTEOPOROTIC VERTEBRAL FRACTURES
title_full KYPHOPLASTY AND VERTEBROPLASTY IN THE TREATMENT OF OSTEOPOROTIC VERTEBRAL FRACTURES
title_fullStr KYPHOPLASTY AND VERTEBROPLASTY IN THE TREATMENT OF OSTEOPOROTIC VERTEBRAL FRACTURES
title_full_unstemmed KYPHOPLASTY AND VERTEBROPLASTY IN THE TREATMENT OF OSTEOPOROTIC VERTEBRAL FRACTURES
title_short KYPHOPLASTY AND VERTEBROPLASTY IN THE TREATMENT OF OSTEOPOROTIC VERTEBRAL FRACTURES
title_sort kyphoplasty and vertebroplasty in the treatment of osteoporotic vertebral fractures
topic Cifoplastia
Vertebroplastia
Fracturas de la columna vertebral
Osteoporosis
Fracturas osteoporóticas
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512018000200124&lng=en&tlng=en
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