Perkütan Vertebroplasti ve Balon Kifoplasti ile Tedavi Edilen Osteoporotik Torakolomber Kırığı Olan Hastaların Klinik Sonuçları

Öz

Amaç: Bu çalışma ile osteoporoza bağlı olarak vertebra korpus fraktürü gelişmiş hastalara uygulanan vertebroplasti (VP) veya kifoplastinin (KP) klinik sonuçlarını değerlendirmeyi amaçladık. Materyal ve Metot: Kliniğimizde torakolomber osteoporotik kırık nedeniyle VP ve KP uygulanan 26 hasta retrospektif incelendi. Yapılan yönteme göre iki grup oluşturularak VP 14 olguya ve KP 12 olguya uygulandı. Olgular radyolojik olarak Magnetik Rezonans Görüntüleme (MRG), Bilgisayarlı Tomografi (BT) ve X-ray radyografi ile değerlendirildi. Hastaların istirahat ağrıları visual analog skala (VAS) kullanılarak; günlük yaşam aktiviteleri ise Oswestry Disabilite İndeksi (ODİ) kullanılarak tedavi öncesi ve tedavi sonrası karşılaştırıldı. Bulgular: Torakolomber vertebra korpus kırığı olan 22 kadın ve 4 erkek vakaya VP ve KP uygulandı. Ameliyat öncesi VAS skorları her iki grupta da benzerdi ve istatistiksel olarak anlamlı değildi (p=0,995). Ameliyat öncesi ODI skorları her iki grupta da benzerdi ve istatistiksel olarak anlamlı değildi (p=0,842). 5 hastada nörolojik defisit yapmayan sement kaçağı görüldü. Sonuç: VP ve KP prosedürlerinin VAS ve ODİ skorları üzerindeki etkileri benzerdir. Ancak ekonomik olarak KP'nin maliyeti VP'ye göre nispeten oldukça yüksektir. Mevcut çalışma, VP'nin KP ile karşılaştırıldığında düşük maliyeti ve VAS ve ODI skorlarında klinik olarak benzer sonuçlara sahip olması nedeniyle VP'nin uygulanmasını önermektedir.

Anahtar Kelimeler

• Ağrı
• kifoplasti
• osteoporoz
• vertebral kompresyon kırığı
• vertebroplasti

Clinical Outcomes of Patients with Osteoporotic Thoracolumbar Fracture Treated with Percutaneous Vertebroplasty and Balloon Kyphoplasty

Abstract

Objective: We aimed to evaluate the clinical outcomes of vertebroplasty (VP) or kyphoplasty (KP) in patients with vertebral body fractures due to osteoporosis. Materials and Methods: We retrospectively analysed 26 patients who underwent VP and KP for thoracolumbar osteoporotic fracture. Two groups were formed according to the procedure. While VP was applied to 14 cases, KP was applied to 12 cases. The cases were evaluated radiologically with Magnetic Resonance Imaging (MRI), Computed Tomography (CT), and X-ray radiography. Before and after treatment, the Oswestry Disability Index (ODI) was used to compare daily activities, while the visual analogue scale (VAS) measured resting pain. Results: VP and KP were applied to 22 female and 4 male cases. Preoperative VAS scores were similar in both groups and were not statistically significant (p=0.995). Preoperative ODI scores were similar in both groups and were not statistically significant (p=0.842). Cement leakage without the neurological deficit was observed in 5 patients. Conclusion: The effects of VP and KP procedures on VAS and ODI scores are similar. However, economically, the cost of KP is relatively high compared to VP. The study suggests using VP due to its low cost and clinically similar results on VAS and ODI scores compared to KP.

Keywords

• Kyphoplasty
• osteoporosis
• pain
• vertebral compression fracture
• vertebroplasty

Kaynakça

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