Journal of Korean Neurosurgical Society

  • 제56권3호
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  • Pages.211-217
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  • 2014
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Early Vertebroplasty versus Delayed Vertebroplasty for Acute Osteoporotic Compression Fracture : Are the Results of the Two Surgical Strategies the Same?

  • Son, Seong (Department of Neurosurgery, Gachon University Gil Medical Center) ;
  • Lee, Sang-Gu (Department of Neurosurgery, Gachon University Gil Medical Center) ;
  • Kim, Woo-Kyung (Department of Neurosurgery, Gachon University Gil Medical Center) ;
  • Park, Chan-Woo (Department of Neurosurgery, Gachon University Gil Medical Center) ;
  • Yoo, Chan-Jong (Department of Neurosurgery, Gachon University Gil Medical Center)
  • 투고 : 2013.06.28
  • 심사 : 2014.09.06
  • 발행 : 2014.09.28
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초록

Objective : In Korea, early vertebroplasty (EVP) or delayed vertebroplasty (DVP, which is performed at least 2 weeks after diagnosis) were performed for the treatment of acute osteoporotic compression fracture (OCF) of the spine. The present study compared the outcomes of two surgical strategies for the treatment of single-level acute OCF in the thoracolumbar junction (T12-L2). Methods : From 2004 to 2010, 23 patients were allocated to the EVP group (EVPG) and 27 patients to the DVP group (DVPG). Overall mean age was $68.3{\pm}7.9$ and minimum follow-up period was 1.0 year. Retrospective study of clinical and radiological results was conducted. Results : No significant differences in baseline characteristics were observed between the two groups. As expected, mean duration from onset to vertebroplasty and mean duration of hospital stay were significantly longer in the DVPG ($17.1{\pm}2.1$ and $17.5{\pm}4.2$) than in the EVPG ($3.8{\pm}3.3$ and $10.8{\pm}5.1$, p=0.001). Final clinical outcome including visual analogue scale (VAS), Oswestry Disability Index, and Odom's criteria did not differ between the two groups. However, immediate improvement of the VAS after vertebroplasty was greater in the EVPG ($5.1{\pm}1.3$) than in the DVPG ($4.0{\pm}1.0$, p=0.002). The proportion of cement leakage was lower in the EVPG (30.4%) than in the DVPG (59.3%, p=0.039). In addition, semiquantitative grade of cement interdigitation was significantly more favorable in the EVPG than in the DVPG (p=0.003). Final vertebral body collapse and segmental kyphosis did not differ significantly between the two groups. Conclusion : Our findings suggest that EVP achieves a better immediate surgical effect with more favorable cost-effectiveness.

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참고문헌

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피인용 문헌

  1. Percutaneous Vertebroplasty Versus Conservative Treatment in Aged Patients With Acute Osteoporotic Vertebral Compression Fractures: A Prospective Randomized Controlled Clinical Study vol.41, pp.8, 2016, https://doi.org/10.1097/brs.0000000000001298
  2. Vertebral Augmentation: State of the Art vol.10, pp.2, 2016, https://doi.org/10.4184/asj.2016.10.2.370
  3. Comparison of Outcomes of Conservative Treatment, Early Vertebroplasty, and Delayed Vertebroplasty in Patients with Osteoporotic Vertebral Compression Fractures vol.23, pp.3, 2014, https://doi.org/10.4184/jkss.2016.23.3.139
  4. Percutaneous cement augmentation for osteoporotic vertebral fractures vol.2, pp.6, 2014, https://doi.org/10.1302/2058-5241.2.160057
  5. Radiologic Evaluation of Chronic Vertebral Compression Fractures and Role of Vertebral Augmentation vol.10, pp.8, 2014, https://doi.org/10.7759/cureus.3208
  6. The safety and efficacy of percutaneous vertebroplasty for patients over 90 years old vol.37, pp.2, 2014, https://doi.org/10.1007/s11604-018-0797-1
  7. The effectiveness of cement augmentation in kyphosis correction of dynamically loaded osteoporotic vertebral fractures: A retrospective case series vol.23, pp.None, 2014, https://doi.org/10.1016/j.inat.2020.100978
  8. Exploration of percutaneous vertebroplasty in the treatment of osteoporotic vertebral compression fracture as day surgery: a retrospective study vol.30, pp.9, 2014, https://doi.org/10.1007/s00586-021-06887-0