TREATMENT RESULTS OF MULTILEVEL OSTEOPOROTIC VERTEBRAL COMPRESSION FRACTURES USING PERCUTANEOUS VERTEBROPLASTY AT 121 MILITARY HOSPITAL
Main Article Content
Abstract
Background: Vertebroplasty is a minimally invasive surgery to treat osteoporotic vertebral fractures. For multilevel osteoporotic vertebral compressive fractures, vertebroplasty still carried numerous risks of complications. The unilateral transpedicle vertebroplasty offers high treatment efficiency, reduces surgical time, and conserves surgical equipment. Objective: To evaluate the outcomes of multilevel percutaneous vertebroplasty to treat osteoporotic vertebral compressive fractures. Materials and methods: A descriptive prospective study was conducted on 61 patients undergoing multilevel osteoporotic vertebral fractures at 121 Military Hospital from June 2023 to December 2023. Results: All patients presented with back pain and difficulty in movement; 47 patients (77.0%) had 2-level fractures, and 14 patients (23.0%) had 3-level fractures. The mean surgical time was 45.6 ± 15.4 minutes, and the mean cement volume was 4.7 ± 1.2 mL per vertebra. Cement leakage occurred in 15.4% of vertebrae, without serious complications. Preoperative and postoperative Visual Analog Scale (VAS) score demonstrated a statistically significant decrease (p <0.001), and postoperative Cobb angle improvement was also statistically significant (p < 0.001). Conclusions: Multilevel vertebroplasty treat osteoporotic vertebral compressive fractures improved patient outcomes.
Article Details
Keywords
vertebral compresive fracture, multilevel, osteoporosis, vertebroplasty, VAS
References
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