Artikel
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
Suche in Medline nach
Autoren
Veröffentlicht: | 8. Mai 2006 |
---|
Gliederung
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.