The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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The Clinical Outcomes of Kyphoplasty for the Treatment of Malignant Vertebral Compression Fractures

전이성 척추 종양으로 인한 압박 골절 환자의 척추 후굴 풍선 복원술의 임상 효과

  • Kim, Da Mi (Pain Clinic, Department of Anesthesiology and Pain Medicine, Ajou University Hospital, Ajou University College of Medcine) ;
  • Seo, Kyung Su (Pain Clinic, Department of Anesthesiology and Pain Medicine, Ajou University Hospital, Ajou University College of Medcine) ;
  • Park, Eun Jung (Pain Clinic, Department of Anesthesiology and Pain Medicine, Ajou University Hospital, Ajou University College of Medcine) ;
  • Han, Kyung Ream (Pain Clinic, Department of Anesthesiology and Pain Medicine, Ajou University Hospital, Ajou University College of Medcine) ;
  • Kim, Chan (Pain Clinic, Department of Anesthesiology and Pain Medicine, Ajou University Hospital, Ajou University College of Medcine)
  • 김다미 (아주대학교 의과대학 아주대학교부속병원 마취통증의학교실) ;
  • 서경수 (아주대학교 의과대학 아주대학교부속병원 마취통증의학교실) ;
  • 박은정 (아주대학교 의과대학 아주대학교부속병원 마취통증의학교실) ;
  • 한경림 (아주대학교 의과대학 아주대학교부속병원 마취통증의학교실) ;
  • 김찬 (아주대학교 의과대학 아주대학교부속병원 마취통증의학교실)
  • Received : 2008.08.12
  • Accepted : 2008.10.08
  • Published : 2008.12.30
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Abstract

Background: Kyphoplasty is a minimally invasive procedure that can stabilize osteoporotic and neoplastic vertebral fractures. We retrospectively evaluated the clinical outcomes of kyphoplasty for the treatment of vertebral compression fractures in cancer patients. Methods: We reviewed the clinical data of 27 cancer patients who were treated with kyphoplasty (55 vertebral bodies) between May 2003 and Feb 2008. The clinical parameters, using a visual analog 10 point scale (VAS) and the mobility scores, as well as consumption of analgesic, were evaluated preoperatively and at 1 week after kyphoplasty. Results: A total 55 cases of thoracic and lumbar kyphoplasties were performed without complications. The mean age of the patients was 66 years. All the patients experienced a significant improvement in their subjective pain and mobility immediately after the procedures. The pain scores (VAS), mobility scores and other functional evaluations using the Oswestry disability score and the SF-36 showed significant differences between the pre- and postoperational conditions. Conclusions: Kyphoplasty is an effective, minimally invasive procedure that can relieve the pain of patients with vertebral compression fractures and these fractures are the result of metastasis.

Keywords

References

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