| Percutaneous Vertebroplasty for Compression Fracture in Elderly Patients |
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Bong Kee Jo , Won Hee Lee , Sung Tae Kim , Kun Soo Lee , Sung Hwa Paeng , Se Young Pyo , Young Gyun Jeong , Moo Sung Kim , Yong Tae Jeong , Young Seo Lee |
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Department of Neurosurgery, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea |
| 노인에서의 척추체 압박골절에서의 경피적 척추성형술 |
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조봉기·이원희·김성태·이근수·팽성화·표세영·정영균·김무성·정용태·이영서 |
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인제대학교 의과대학 부산백병원 신경외과학교실 |
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| Abstract |
Objective
Vertebral compression fractures were usually treated conservatively, but might be required surgical treatment if there is no response to conservative treatment. In the case of the elderly, it was tend to performed percutaneous vertebroplasty because of difficulty of surgery under general anesthesia. Therefore, we had conducted a study to evaluate the effect of percutaneous vertebroplasty in the elderly.
Methods
A retrospective review was conducted of 89 patients treated by percutaneous vertebroplasty from October 2011 to December 2013. Male was 14 people and female was 75 people. The median age was 76 years old (65 to 88). The patients had symptomatic compression fractures and failed medical therapy. Immediate and long-term clinical outcomes and complications of the percutaneous vertebroplasty with PMMA were evaluated.
Results
65 (73.0%) of the 89 patients reported pain improvement within the first 48 hours. 43 patients (48.3%) were evaluated as excellent, 22 patients (24.7%) as good, 17 patients (19.1%) as fair, and 7 patients (10.5%), as poor. 14 (36.8%) patients had cement extrusion into a disc, paravertebral vessels or epidural space and all of them had no significant systemic symptoms except back pain.
Conclusion
Percutaneuos vertebroplasty using PMMA provided significant pain relief in most of the patients with compression fractures. It is considered that percutaneuos vertebroplasty using PMMA is an alternative method of treating patients with compression fractures who did not respond to medical treatments in the elderly. |
| Key Words:
Elderly, Compression Fracture, Vertebroplasty |
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