J Korean Fract Soc.  2004 Oct;17(4):368-373. 10.12671/jkfs.2004.17.4.368.

Vertebroplasty in the Treatment of Osteoporotic Compression Fracture: More Than 1 Year Follow Up

• Hwang J
• Kim C
• Kim J

• KMID: 2015375
• DOI: http://doi.org/10.12671/jkfs.2004.17.4.368

Abstract

PURPOSE: To assess the clinical and functional outcome of the patients who underwent percutaneous vertebroplasty with bone cement for the osteoporotic compression fracture and who had been followed up for minimum 1 year.
MATERIALS AND METHODS
Among 110 patients who had been undergone percutaneous vertebroplasty with bone cement for osteoporotic compression fracture in Gangneung Asan Hospital from January 2001 to August 2002, 75 patients who had been followed up for more than 1 year were selected. And retrospectively, we analyzed the clinical and radiographic finding of 1 year, 2 year and 3 year follow-up. The patients were divided into 3 groups, the first group who have follow-up period of the from 1 to 2 years had 75 patients, the second group who the from 2 to 3 years, 49 patients, and the third group who the more than 3 years, 20 patients. We graded the clinical results to excellent, good, normal, fair and poor. Also, we assessed the height of vertebral body, the adjacent vertebral body fracture and the leakage of bone cement.
RESULTS
74 patients (98.6%) had the excellent or good results postoperatively. 69 patients (92%) of the first group, 46 patients (93.8%) of the second group and 16 patients (80%) of the third group had excellent or good results at last follow-up. There was no statistical correlation of each groups (p>0.05). In first group, the average height of body was 71.1% preoperatively, 73.5% postoperatively and 73.5% at follow-up. In second group, 71.5%, 75.5%, and 73.1%. In third group, 71.2%, 78.0% and 77.8%. There was no significant statistical correlation of each groups (p>0.05). 47cases (38.8%) had some leakage of cement immediate postoperatively. In 4 cases (7 vertebra), there were adjacent vertebral body fractures.
CONCLUSION
Based on the results of our study, percutaneous vertebroplasty is a useful method in the treatment for the osteoporotic compression fracture of vertebra body.

Keyword

Vertebral body; Osteoporotic compression fracture; Percutaneous vertebroplasty

MeSH Terms

Chungcheongnam-do
Follow-Up Studies*
Fractures, Compression*
Gangwon-do
Humans
Retrospective Studies
Spine
Vertebroplasty*