gms | German Medical Science

57th Annual Meeting of the German Society of Neurosurgery
Joint Meeting with the Japanese Neurosurgical Society

German Society of Neurosurgery (DGNC)

11 - 14 May, Essen

Comparative prospective study results in the therapy of osteoporotic vertebral body fractures using Kyphoplasty or conservative procedure – 2-year results of 57 patients

Vergleichende prospektive Untersuchungsergebnisse der Therapie osteoporotischer Wirbelkörperfrakturen mittels der Kyphoplastie oder konservativem Vorgehen – 2-Jahresergebnisse von 57 Patienten

Meeting Abstract

  • corresponding author A. Lienert - Ressort Wirbelsäulenchirurgie und Schmerztherapie, Zentrum für Orthopädie und Unfallchirurgie, St. Anna-Hospital Herne, am Lehrstuhl für Radiologie und Mikrotherapie, Universität Witten/Herdecke
  • S. Ruetten - Ressort Wirbelsäulenchirurgie und Schmerztherapie, Zentrum für Orthopädie und Unfallchirurgie, St. Anna-Hospital Herne, am Lehrstuhl für Radiologie und Mikrotherapie, Universität Witten/Herdecke
  • M. Komp - Ressort Wirbelsäulenchirurgie und Schmerztherapie, Zentrum für Orthopädie und Unfallchirurgie, St. Anna-Hospital Herne, am Lehrstuhl für Radiologie und Mikrotherapie, Universität Witten/Herdecke
  • G. Godolias - Ressort Wirbelsäulenchirurgie und Schmerztherapie, Zentrum für Orthopädie und Unfallchirurgie, St. Anna-Hospital Herne, am Lehrstuhl für Radiologie und Mikrotherapie, Universität Witten/Herdecke

Deutsche Gesellschaft für Neurochirurgie. Japanische Gesellschaft für Neurochirurgie. 57. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e.V. (DGNC), Joint Meeting mit der Japanischen Gesellschaft für Neurochirurgie. Essen, 11.-14.05.2006. Düsseldorf, Köln: German Medical Science; 2006. DocP 11.172

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/dgnc2006/06dgnc389.shtml

Published: May 8, 2006

© 2006 Lienert et al.
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Outline

Text

Objective: In operative therapy of osteoporotic compression fracture, the minimally-invasive procedure kyphoplasty should enable correction of vertebral body height, stabilisation and pain reduction. What advantages arise for the patient compared to conservative therapy?

Methods: 28 patients with a monosegmental, functionally-instable compression fracture underwent kyphoplasty between 2001 and 2003. 29 patients were conservatively treated. The patient made the decision concerning which therapeutic procedure was used. In this study, pain reduction, resintering, stability and behaviour of the adjacent vertebral bodies were recorded over a period of 2 years.

Results: There were no intraoperative complications, such as cement leakage into the spinal canal or the venous system. Improvement in the vertebral body height could be achieved in 88% of the fractures. In the conservative group, there was a significantly higher resintering rate. In the kyphoplasty group, 25 patients reported subjective pain reduction, whereby there was significant pain reduction compared to the control group over the entire study period. No increased fracture rate of adjacent vertebral bodies was observed in the kyphoplasty group.

Conclusions: In the treatment of osteoporotic compression fracture, kyphoplasty has definite advantages in the appropriate indication over conservative procedures. The primary advantage is rapid pain reduction. The height of the vertebral body can be influenced and the kyphotic axis flexion reduced. Resintering of the fractured vertebral bodies can be reduced. However, the behaviour of adjacent vertebral bodies must be further observed.