[Kyphoplasty in the treatment of osteoporotic spine fractures - experience with 1069 cases].

Abstract

BACKGROUND:

Kyphoplasty has been established as treatment for painful osteoporotic vertebral compression fractures for over ten years. Its effectiveness has been substantiated in multiple clinical studies. Not only is prompt pain reduction achieved, but according to a new, large, long-term study, long-term survival is also increased.

PATIENTS:

Balloon kyphoplasty was performed for 1069 patients between 01.01.2008 and 31.12.2013. In all cases, pain was rated more than 6/10 points, and a recent fracture was evident on cross-sectional imaging (CT or MRT STIR T2) performed to supplement spine X-rays. Average patient age was 77 ± 5.2 years. 73 % of patients were female. Treated fracture levels ranged from T 3 to L 5.

METHODS:

A single level was treated in 627 cases, two levels were treated simultaneously in 246 cases, three levels in 73 cases, and four levels in 29 cases. Average operative time for all patients was 35 minutes. Pain was reduced from 8.0 ± 1.0 preoperative to 2.2 ± 1.3 points postoperative in visual analogue scale (p < 0.1). Average intrahospital time was 9 days. Asymptomatic cement leckages were seen in 20 % of the cases. 855 were released home from the hospital and 210 patients went on to rehabilitation. Seven major complications (0.9 %) occurred during the hospital time (four mortalities during hospital admission, three neurological deficits, one lateral implant protrusion and a subdural bleeding).

CONCLUSION:

Kyphoplasty is a good procedure for treating painful osteoporotic fractures from the lumbar to the thoracic spine. Major complications occur rarely after kyphoplasty; however, they must be considered and clarified.

• Authors: A Prokop, R Dolezych, M Chmielnicki
• Journal: Zeitschrift fur Orthopadie und Unfallchirurgie (Z Orthop Unfall) Vol. 152 Issue 4 Pg. 315-8 (Aug 2014) ISSN: 1864-6743 [Electronic] Germany
• Vernacular Title: Kyphoplastie bei osteoporotischer Wirbelfraktur - Erfahrungen mit 1069 Fällen.
• PMID: 25144839 (Publication Type: English Abstract, Journal Article)
• Copyright: Georg Thieme Verlag KG Stuttgart · New York.

Topics

• Aged
• Aged, 80 and over
• Female
• Follow-Up Studies
• Hospital Mortality
• Humans
• Kyphoplasty (instrumentation, methods)
• Lumbar Vertebrae (injuries, surgery)
• Male
• Osteoporotic Fractures (mortality, surgery)
• Pain Measurement
• Postoperative Complications (etiology, mortality)
• Spinal Fractures (mortality, surgery)
• Surgical Instruments
• Survival Rate
• Thoracic Vertebrae (injuries, surgery)
• Video Recording