FARUK ALTINEL
(Baskent University)
Gözde Özcan SÖYLEV
(Baskent University)
BAHATTİN TUNCALI
(Baskent University)
Mehmet Nur ALTINÖRS
(Baskent University)
Yıl: 2017Cilt: 34Sayı: 3ISSN: 1300-1817 / 1302-1664Sayfa Aralığı: 222 - 230İngilizce

54 3
Vertebroplasty in Vertebral Compression Fractures: Single Institute Experience with 49 Cases
Amaç: Vertebra kompresyon fraktürlerinin (VKF) tedavi seçenekleri arasında perkutan yolla vertebroplasti (PVP) tercih edilen bir yöntemdir. Bu çalışmada VKF'si olan 49 hastada PVP'nin etkinliği ve komplikasyonları araştırıldı. Gereç ve yöntem: Hastanemize 2012-2015 tarihleri arasında osteoporoz ve travmaya ikincil kompresyon fraktürleri gibi bening, osteolitik kemik tümörleri, farklı metastazlar, lösemi gibi malign nedenlerle başvuran 49 hasta, PVP ile tedavi edildi. Hastaların preoperatif ve postoperatif değerlendirmesinde bel ve bacak ağrısı için visual analog skala (VAS), kırık morfolojisi için preoperatif rutin ayakta lumbal vertebra grafileri, lumbal magnetik rezonans görüntüleme (MRG) tetkikleri, segmental kifotik açı ve vertebra korpusunun kompresyon oranı, enjekte edilen polimetil metakrilat (PMMA) sement volumü ve yayılımı kayıt altına alındı. Sonuç: Preoperatif ve postoperatif VAS skorları 8.60±0.90 ve 1.13±1.10 (p<0.01) Ortalama kompresyon oranı 24.72±13.99, ortalama restorasyon yüksekliği oranı ise 3.47±5.36, kifoz açısı ortalaması ise 7.35±6.81 idi. Preoperatif ve postoperatif vertebra yükseklik ortalaması ise 1.83±0.39 ve 1.88±0.36 p<0.01 idi. Bu çalışmada VKF olan hastalarda, preoperatif ağrı, postoperatif erken ve geç dönemlerde belirgin olarak azaldı. PVP sonrası kırık vertebra yükseklik ortalamasında hafif artış saptandı
Fen > Tıp > Nörolojik Bilimler
DergiAraştırma MakalesiErişime Açık
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