Clinical Outcome of Patients with Osteoporotic Vertebral Compression Fracture Age 80 Years or Older

, Tae Yun Kim; , Ki Seong Eom; , Jong Tae Park; , Seong Keun Moon

Clinical Article

Journal of Korean Society of Geriatric Neurosurgery 2013;9(2):201-206.
Published online December 30, 2013.

Clinical Outcome of Patients with Osteoporotic Vertebral Compression Fracture Age 80 Years or Older

Tae Yun Kim , Ki Seong Eom , Jong Tae Park , Seong Keun Moon

Department of Neurosurgery, Wonkwang University School of Medicine, Iksan, Korea

80세 이상 고령의 골다공증성 척추 압박골절 환자의 치료 결과

김태윤ㆍ엄기성ㆍ박종태ㆍ문성근

원광대학교 의과대학 신경외과학교실

Abstract

Objective
As elderly population grows rapidly, osteoporotic vertebral compression fracture is more increasing in elderly. Purpose of this article is to assess the effects of vertebroplasty and kyphoplasty for osteoporotic compression fracture of elderly patients aged over 80 years.
Methods
Between January 2007 and December 2012, 75 patients aged over 80 years underwent vertebroplasty and kyphoplasty for osteoporotic vertebral compression fracture. We investigated the age of patients, sex, underlying disease, body mass index (BMI), bone mineral density (BMD), location of the vertebral fracture, and visual analogue scale (VAS) score.
Results
Vertebroplasty and kyphoplasty was performed in 75 patients with a total of 88 affected vertebral bodies. Mean age was 83.13±2.84 and mean BMI was 22.13±3.36, mean BMD was -3.78±0.73. Location of the vertebral fracture was most common at thoracolumbar level (T12-L1). Marked improvement of VAS score was seen 51 patients (68%) in 3months.
Conclusion
Vertebroplasty and kyphoplasty are effective procedure for relief of pain and mobility improvement in osteoporotic vertebral compression fracture of elderly patients aged over 80 years.

Key Words: Vertebral compression fractureㆍOsteoporosisㆍVertebroplastyㆍKyphoplasty