![]() ![]() The pain region was consistent with the presence of oedema in the fractured vertebra found on MRI. ![]() All the patients had severe back pain which was refractory to conservative therapy, such as bed rest and treatment with analgesics and anti-osteoporotic medication. All the patients had osteoporosis, which was preoperatively identified by dual-energy X-ray absorptiometry (DXA). The mean duration of symptoms was 5.3 months (1.5 to 10). The mean age of the patients was 71.7 years old (65 to 82). The purpose of our study was to evaluate the efficacy and safety of PKP for the treatment of vsOVCFs with spinal canal compromise.Ī total of 35 patients who suffered from vsOVCFs with spinal canal compromise at one level underwent PKP between January 2009 and October 2014. Here, we report on our experience of the treatment for vsOVCFs with spinal canal compromise by PKP. Even less data are available about the use of PKP in treating vsOVCFs with spinal canal compromise. However, there have been only few reports on the role of PKP in the treatment of very severe osteoporotic vertebral compression fractures (vsOVCFs), which are the vertebral body collapse to less than one third of their original height. Percutaneous kyphoplasty (PKP) is a minimally invasive procedure for the treatment of OVCFs, and numerous encouraging studies have been reported. Conservative management, including bed rest, pain relievers, bracing and physical therapy, may fail to relieve pain and frequently lead to prolonged immobilisation, depression and a substantial negative impact on life quality. Osteoporotic vertebral compression fracture (OVCF) is a common cause of pain and disability in the elderly population, affecting 1.4 million people each year worldwide. PKP is a safe and effective procedure for the treatment of vsOVCFs with spinal canal compromise, achieving significant vertebral height restoration and kyphotic angle reduction and leading to a significant pain relief and improvement in function. Four new OVCFs in three patients were identified. Five of 35 vertebrae (14.3%) of cement leakages were all asymptomatic. The vertebral height was restored and the LKA was improved after surgery ( p < 0.01). Significant improvements on the VAS and ODI were noted 1 day post-operatively ( p < 0.01), and these results were preserved at the final follow-up. The vertebral height, local kyphotic angle (LKA), visual analogue scale (VAS) and Oswestry Disability Index (ODI) values were assessed before the operation, 1 day after the operation and at the final follow-up. Thirty-five patients who suffered vsOVCFs with spinal canal compromise but without neurological deficits were treated by PKP between January 2009 and October 2014. The aim of this study was to evaluate the safety and efficacy of percutaneous kyphoplasty (PKP) for the treatment of vsOVCFs with spinal canal compromise. Few data are available about the use of percutaneous kyphoplasty (PKP) in treating vsOVCFs with spinal canal compromise. Very severe osteoporotic vertebral compression fractures (vsOVCFs) are osteoporotic vertebral compression fractures with vertebral body collapse to less than one third of their original height.
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