Vertebroplasti uygulanan hastalarin değerlendirilmesi: tek merkez deneyimi

Abstract

Amaç: Bu çalışmanın amacı kliniğimizde vertebra kırıkları nedeniyle vertebroplasti ve kifoplasti uygulanan hastaların demografik, klinik ve radyolojik özelliklerini değerlendirmek ve sonuçlarımızı literatürle karşılaştırmalı olarak sunmaktır.
Gereç ve yöntem: 2013-2024 yılları arasında vertebra kırığı nedeniyle vertebroplasti (n=92) veya kifoplasti (n=49) uygulanan toplam 141 hasta retrospektif olarak incelendi. Yaş, cinsiyet, tedavi edilen seviye, patoloji türü, eşlik eden hastalıklar, travma öyküsü, başvuru semptomları ve takip süresince radyolojik olarak boy kısalması gibi parametreler değerlendirildi.
Bulgular: Toplam 141 hastanın %65,2'sine vertebroplasti, %34,8'ine kifoplasti uygulandı. Hastaların yaş ortalaması 64,91±14,07 yıl (aralık: 20-92 yıl) olarak belirlenmiştir. Kadın hastaların oranı %56,7 (n=80), erkek hastaların oranı ise %43,3 (n=61) olarak saptanmıştır. Patolojik tanı, kırıkların %79,4'ünün osteoporotik veya kemik kaynaklı olduğunu ortaya koydu. Hastaların %41,8'inde travma öyküsü mevcuttu. En sık etkilenen vertebra seviyesi, vakaların %23,4'ünde gözlenen L1 seviyesiydi. Hastaların %86,4'ünde tek seviyeli kırıklar mevcuttu. Tüm hastalardaki temel şikayet ağrıydı. Ayrıca, hastaların %71,6'sında en az bir eşlik eden hastalık vardı. Travma öyküsü osteoporotik (kemik kaynaklı) kırıklarda anlamlı olarak daha yaygındı (p<0,001), ancak tümör grubunda daha az sıklıkta görüldü.
Sonuç: Tedavi seçimi, altta yatan patoloji ve radyolojik bulgulara göre kişiselleştirilmelidir. Etkili ağrı kontrolü ve ağrı kesici kullanımının azaltılması, yaşam kalitesini önemli ölçüde iyileştirmek ve günlük aktivitelere daha erken dönüşü sağlamak için çok önemlidir.

Keywords

• Vertebroplasti
• kifoplasti
• kompresyon kırığı
• travma

Ethical Statement

26.12.2024 , 24-MOBAEK-058

Evaluation of patients undergoing vertebroplasty: a single-center experience

Abstract

Purpose: The aim of this study is to evaluate the demographic, clinical and radiological characteristics of patients who underwent vertebroplasty and kyphoplasty due to vertebral fractures in our clinic and to present our results in comparison with the literature.
Materials and methods: A total of 141 patients who underwent vertebroplasty (n=92) or kyphoplasty (n=49) due to vertebral fractures between 2013 and 2024 were retrospectively analyzed. Parameters such as age, sex, number of fractures, treated level, type of pathology, comorbidities, history of trauma, presenting symptoms, and radiological height loss during follow-up were evaluated.
Results: Of the total 141 patients, 65.2% underwent vertebroplasty and 34.8% underwent kyphoplasty. The mean age of the patients was 64.91±14.07 years (range: 20-92 years). The proportion of female patients was 56.7% (n=80), while male patients accounted for 43.3% (n=61). Pathological diagnosis revealed that 79.4% of the fractures were osteoporotic or bone- related in origin. A history of trauma was present in 41.8% of the patients. The most frequently affected vertebral level was L1, observed in 23.4% of cases. Single-level fractures were present in 86.4% of the patients. The main complaint in all patients was pain. Additionally, 71.6% of the patients had at least one comorbidity. A history of trauma was significantly more common in osteoporotic (bone-related) fractures (p<0.001), whereas it was less frequently observed in the tumor group.
Conclusion: The choice of treatment should be individualized based on the underlying pathology and radiological findings. Effective pain control and reduction in the use of analgesics are crucial for significantly improving quality of life and enabling an earlier return to daily activities.

Keywords

• Vertebroplasty
• kyphoplasty
• compression fracture
• trauma

Ethical Statement

26.12.2024 , 24-MOBAEK-058

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