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Kyphoplasty Versus Vertebroplasty In The Treatment Of Painful Osteoporotic Vertebral Compression Fractures : Two-Year Follow-Up In A Prospective Controlled Study / Junhua DU in Acta Orthopaedica Belgica, Vol 80/4 (Décembre 2014)
[article]
Titre : Kyphoplasty Versus Vertebroplasty In The Treatment Of Painful Osteoporotic Vertebral Compression Fractures : Two-Year Follow-Up In A Prospective Controlled Study Type de document : texte imprimé Auteurs : Junhua DU, Auteur Année de publication : 2014 Article en page(s) : p.477-486 Langues : Anglais (eng) Mots-clés : osteoporotic vertebral fracture kyphplasty vertebroplasty Résumé : A total of 112 patients with a single-level osteoporotic vertebral compression fracture who did not respond to conservative therapy were included and allocated to either kyphoplasty or vertebroplasty treatment. The Visual Analogue Scale (VAS) and Oswestry Disability Index (ODI) were used to assess back pain and disability. Anterior, midline, posterior vertebral body heights, and kyphotic angle at the fractured vertebra were measured for radiographic evaluation. Clinical and radiographic follow-up examinations were performed postoperatively at 3, 6, 12 and 24 months. Complications and patient satisfaction with the surgical procedure were also recorded. The follow-up rate was 73.3% in the kyphoplasty group and 80.8% in the vertebroplasty group (P = 0.737). There were no significant differences between the 2 groups with regard to improvement in VAS and ODI scores (P > 0.05) at all postoperative intervals. Both treatment groups achieved marked vertebral height restoration and kyphotic angle reduction, but the radiographic parameters were signi?cantly better in the kyphoplasty group (P < 0.05). The incidence of asymptomatic cement leakage per treated vertebrae in the kyphoplasty group was 11.4% versus 31% in the vertebroplasty group (P < 0.001). Three adjacent level fractures in the kyphoplasty group and 2 in the vertebroplasty group occurred during 2-year follow-up, and no difference in patient satisfaction was detected between the 2 groups. Kyphoplasty and vertebroplasty achieved similar improvement of clinical outcomes and patient satisfaction at 2 years after surgery, albeit kyphoplasty had more ability to markedly reduce vertebral deformity and resulted in less cement leaks compared with vertebroplasty. Permalink : ./index.php?lvl=notice_display&id=34667
in Acta Orthopaedica Belgica > Vol 80/4 (Décembre 2014) . - p.477-486[article] Kyphoplasty Versus Vertebroplasty In The Treatment Of Painful Osteoporotic Vertebral Compression Fractures : Two-Year Follow-Up In A Prospective Controlled Study [texte imprimé] / Junhua DU, Auteur . - 2014 . - p.477-486.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol 80/4 (Décembre 2014) . - p.477-486
Mots-clés : osteoporotic vertebral fracture kyphplasty vertebroplasty Résumé : A total of 112 patients with a single-level osteoporotic vertebral compression fracture who did not respond to conservative therapy were included and allocated to either kyphoplasty or vertebroplasty treatment. The Visual Analogue Scale (VAS) and Oswestry Disability Index (ODI) were used to assess back pain and disability. Anterior, midline, posterior vertebral body heights, and kyphotic angle at the fractured vertebra were measured for radiographic evaluation. Clinical and radiographic follow-up examinations were performed postoperatively at 3, 6, 12 and 24 months. Complications and patient satisfaction with the surgical procedure were also recorded. The follow-up rate was 73.3% in the kyphoplasty group and 80.8% in the vertebroplasty group (P = 0.737). There were no significant differences between the 2 groups with regard to improvement in VAS and ODI scores (P > 0.05) at all postoperative intervals. Both treatment groups achieved marked vertebral height restoration and kyphotic angle reduction, but the radiographic parameters were signi?cantly better in the kyphoplasty group (P < 0.05). The incidence of asymptomatic cement leakage per treated vertebrae in the kyphoplasty group was 11.4% versus 31% in the vertebroplasty group (P < 0.001). Three adjacent level fractures in the kyphoplasty group and 2 in the vertebroplasty group occurred during 2-year follow-up, and no difference in patient satisfaction was detected between the 2 groups. Kyphoplasty and vertebroplasty achieved similar improvement of clinical outcomes and patient satisfaction at 2 years after surgery, albeit kyphoplasty had more ability to markedly reduce vertebral deformity and resulted in less cement leaks compared with vertebroplasty. Permalink : ./index.php?lvl=notice_display&id=34667 Exemplaires (1)
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Exclu du prêtCement Augmentation For Vertebral Fractures In Patients With Multiple Myeloma / Haroon MAJEED in Acta Orthopaedica Belgica, Vol 80/4 (Décembre 2014)
[article]
Titre : Cement Augmentation For Vertebral Fractures In Patients With Multiple Myeloma Type de document : texte imprimé Auteurs : Haroon MAJEED, Auteur Année de publication : 2014 Article en page(s) : p.551-557 Langues : Anglais (eng) Mots-clés : kyphoplasty vertebroplasty vertebral stents metastatic spine disease plasmacytoma Résumé : Objective of our study was to assess the outcome of cement augmentation in patients with multiple myeloma. We reviewed 12 patients with 48 vertebral fractures. Mean age was 62.5 years. Average length of follow-up was 27.5 months. Expected survival was less than 12 months in 2 patients and more than 12 months in the remaining patients. After surgery mean survival was 32.5 months. Mean correction in vertebral angle was 3.6°. Karnofsky score was more than 70 in 5 patients, 50-70 in 6 and less than 50 in 1 patient preoperatively, while it was more than 70 in all patients postoperatively. Preoperative mean ODI was 72%. After surgery it was 46% at 6 weeks and 14% at 12 months. All patients reported improvement in their pain status after surgery. Cement augmentation is a safe and effective way of treating symptoms of multiple myeloma, which occur due to vertebral metastases. It results in excellent pain control and improvement in quality of life. Permalink : ./index.php?lvl=notice_display&id=34677
in Acta Orthopaedica Belgica > Vol 80/4 (Décembre 2014) . - p.551-557[article] Cement Augmentation For Vertebral Fractures In Patients With Multiple Myeloma [texte imprimé] / Haroon MAJEED, Auteur . - 2014 . - p.551-557.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol 80/4 (Décembre 2014) . - p.551-557
Mots-clés : kyphoplasty vertebroplasty vertebral stents metastatic spine disease plasmacytoma Résumé : Objective of our study was to assess the outcome of cement augmentation in patients with multiple myeloma. We reviewed 12 patients with 48 vertebral fractures. Mean age was 62.5 years. Average length of follow-up was 27.5 months. Expected survival was less than 12 months in 2 patients and more than 12 months in the remaining patients. After surgery mean survival was 32.5 months. Mean correction in vertebral angle was 3.6°. Karnofsky score was more than 70 in 5 patients, 50-70 in 6 and less than 50 in 1 patient preoperatively, while it was more than 70 in all patients postoperatively. Preoperative mean ODI was 72%. After surgery it was 46% at 6 weeks and 14% at 12 months. All patients reported improvement in their pain status after surgery. Cement augmentation is a safe and effective way of treating symptoms of multiple myeloma, which occur due to vertebral metastases. It results in excellent pain control and improvement in quality of life. Permalink : ./index.php?lvl=notice_display&id=34677 Exemplaires (1)
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Exclu du prêt