Incidence of Adjacent Vertebral Fractures in Patients Treated with Balloon Kyphoplasty: Two Years' Prospective Follow-up

Purpose: To evaluate the long-term outcomes of 37 patients with 60 osteoporotic vertebral fractures, located in the thoracic and lumbar spine, treated with balloon kyphoplasty. Material and Methods: Fourty-two patients (15 males and 27 females) with 67 osteoporotic vertebral fractures were treated w...

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Bibliographic Details
Published in:Acta radiologica (1987) 2006-10, Vol.47 (8), p.830-840
Main Authors: Pflugmacher, R., Schroeder, R.-J., Klostermann, C. K.
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Biological and medical sciences
Diseases of the osteoarticular system
Female
Follow-Up Studies
Fractures, Spontaneous - physiopathology
Fractures, Spontaneous - therapy
Humans
Injuries of the limb. Injuries of the spine
Magnetic Resonance Imaging
Male
Medical sciences
Middle Aged
Osteoporosis - complications
Osteoporosis. Osteomalacia. Paget disease
Pain Measurement
Prospective Studies
Tomography, X-Ray Computed
Traumas. Diseases due to physical agents
Treatment Outcome
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Summary:Purpose: To evaluate the long-term outcomes of 37 patients with 60 osteoporotic vertebral fractures, located in the thoracic and lumbar spine, treated with balloon kyphoplasty. Material and Methods: Fourty-two patients (15 males and 27 females) with 67 osteoporotic vertebral fractures were treated with balloon kyphoplasty. We were able to have 2-year follow-up of 37 patients with 60 treated vertebrae. Baseline fracture rate in these 37 patients was 1.9 (60 fresh fractures and 11 old fractures already healed). Symptomatic levels were identified by correlating the clinical presentation with conventional radiographs, computed tomography (CT), and or magnetic resonance imaging (MRI). During the 2-year follow-up, reduction in pain was determined. The effects on pain symptoms were measured on a self-reported visual analog scale (VAS) and the Oswestry score was documented to assess disability. Radiographic scans were performed pre- and postoperatively, and after 3, 6, 12, and 24 months. The vertebral height and endplate angles were measured to assess the restoration of the sagittal alignment. Results: The median pain scores (VAS) decreased significantly from pre- to post-treatment as did the Oswestry Disability Score (P
ISSN:0284-1851
1600-0455
DOI:10.1080/02841850600854928