Korean J Bone Metab > Volume 11(1); 2004 > Article
Korean Journal of Bone Metabolism 2004;11(1):43-50.
The Effects of Percutaneous Vertebroplasty for Osteoporotic Compression Fractures
골다공증성 압박 골절 환자에서 경피적 척추 성형술의 효과
윤기성,김상범,곽 현,류경현,김인주1,김용기1,김의현2
동아대학교 의과대학 재활의학교실, 부산대학교 의과대학 내과학교실1
Vertebral fracture is the most common complication of osteoporosis. It results in significant mortality and morbidity, including prolonged and intractable pain in a minority of patients. Vertebroplasty has been introduced for treatment of osteoporotic patients who have prolonged pain following vertebral fracture. Purpose of this article is to assess the effects of percutaneous vertebroplasty for osteoporotic compression fractures. Method: We studied twenty eight patients (22 women, 6 men, mean age; 68.0 years) with osteoporotic compression fracture of thracolumbar spine from May 2000 to May 2003. Vertebroplasty was performed in thirty eight vertebrae (18 thoracic and 20 lumbar) under fluoroscopic guidance. The technique involved percutaneous puncture of the involved vertebrae via a transpedicular approach under fluoroscopic guide followed by impaction of a polymethylmethacrylate (PMMA). We checked a pain grade by pain rating score (PRS) and visual analog scale (VAS) before procedure and 24 hours later.
Twenty-four hours after vertebroplasty, there was a 39% reduction in pain rating score and 41% in visual analog scale.
Percutaneous vertebroplasty is an effective procedure for the relief of pain in osteoporotic vertebral compression fractures.
Key Words: Percutaneous vertebroplasty, Osteoporotic vertebral compression fracture, Pain rating score (PRS), Visual analog scale (VAS)


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