Vertebroplasty in Vertebral Compression Fractures: Single Institute Experience with 49 Cases

ALTINÖRS, Mehmet Nur; Tuncali, Bahattin; ALTINEL, FARUK; SÖYLEV, Gözde Özcan

Vertebroplasty in Vertebral Compression Fractures: Single Institute Experience with 49 Cases

Faruk ALTINEL, (Baskent University)

Gözde Özcan SÖYLEV, (Baskent University)

Bahattin TUNCALI, (Baskent University)

Mehmet Nur ALTINÖRS (Baskent University)

Journal of Neurological Sciences (Turkish)

9 2

Yıl: 2017 Cilt: 34 Sayı: 3 Sayfa Aralığı: 222 - 230 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Vertebroplasty in Vertebral Compression Fractures: Single Institute Experience with 49 Cases

Öz:

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

Anahtar Kelime:

Konular: Nörolojik Bilimler

Vertebra Kompresyon Fraktürlerinde Vertebroplasti 49 Olgu ile Tek Merkez Çalışması

Öz:

Objective: Percutaneous vertebroplasty (PVP) is the preferred treatment option for vertebral compression fractures (VCF). In this study, the efficacy and complications of PVP were investigated among 49 patients with VCF. Methods: Forty-nine patients with VCF due to osteoporosis, trauma, osteolytic bone tumors, metastases or leukemia who were admitted to our hospital between 2012 and 2015 and treated with PVP were included in the study. In patients' preoperative and postoperative evaluation, a visual analogue scale (VAS) was used to assess back and leg pain, preoperative routine lumbar vertebral radiography was used for fracture morphology, lumbar magnetic resonance imaging was performed, and the segmental kyphotic angle, vertebral corpus compression rate, polymethylmethacrylate (PMMA) cement volume, and diffusion of PMMA were recorded. Results: Preoperative and postoperative VAS scores were 8.6±0.9 vs. 1.13±1.1 (p<0.01). The approximate compression rate was 24.72±13.99 %, the ratio of approximate restoration height was 3.47±5.36, and the mean kyphosis angle was 7.35±6.81 °. The mean pre- and postoperative values of vertebral height were 1.83±0.39 cm vs1.88±0.36 cm (P<.01). Conclusion: In this study, preoperative pain in patients with VCF prominently diminished in the postoperative early and late phase. After PVP, vertebral height showed a subtle increase

Anahtar Kelime:

Konular: Nörolojik Bilimler

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	ALTINEL F, SÖYLEV G, Tuncali B, ALTINÖRS M (2017). Vertebroplasty in Vertebral Compression Fractures: Single Institute Experience with 49 Cases. , 222 - 230.
Chicago	ALTINEL FARUK,SÖYLEV Gözde Özcan,Tuncali Bahattin,ALTINÖRS Mehmet Nur Vertebroplasty in Vertebral Compression Fractures: Single Institute Experience with 49 Cases. (2017): 222 - 230.
MLA	ALTINEL FARUK,SÖYLEV Gözde Özcan,Tuncali Bahattin,ALTINÖRS Mehmet Nur Vertebroplasty in Vertebral Compression Fractures: Single Institute Experience with 49 Cases. , 2017, ss.222 - 230.
AMA	ALTINEL F,SÖYLEV G,Tuncali B,ALTINÖRS M Vertebroplasty in Vertebral Compression Fractures: Single Institute Experience with 49 Cases. . 2017; 222 - 230.
Vancouver	ALTINEL F,SÖYLEV G,Tuncali B,ALTINÖRS M Vertebroplasty in Vertebral Compression Fractures: Single Institute Experience with 49 Cases. . 2017; 222 - 230.
IEEE	ALTINEL F,SÖYLEV G,Tuncali B,ALTINÖRS M "Vertebroplasty in Vertebral Compression Fractures: Single Institute Experience with 49 Cases." , ss.222 - 230, 2017.
ISNAD	ALTINEL, FARUK vd. "Vertebroplasty in Vertebral Compression Fractures: Single Institute Experience with 49 Cases". (2017), 222-230.

APA	ALTINEL F, SÖYLEV G, Tuncali B, ALTINÖRS M (2017). Vertebroplasty in Vertebral Compression Fractures: Single Institute Experience with 49 Cases. Journal of Neurological Sciences (Turkish), 34(3), 222 - 230.
Chicago	ALTINEL FARUK,SÖYLEV Gözde Özcan,Tuncali Bahattin,ALTINÖRS Mehmet Nur Vertebroplasty in Vertebral Compression Fractures: Single Institute Experience with 49 Cases. Journal of Neurological Sciences (Turkish) 34, no.3 (2017): 222 - 230.
MLA	ALTINEL FARUK,SÖYLEV Gözde Özcan,Tuncali Bahattin,ALTINÖRS Mehmet Nur Vertebroplasty in Vertebral Compression Fractures: Single Institute Experience with 49 Cases. Journal of Neurological Sciences (Turkish), vol.34, no.3, 2017, ss.222 - 230.
AMA	ALTINEL F,SÖYLEV G,Tuncali B,ALTINÖRS M Vertebroplasty in Vertebral Compression Fractures: Single Institute Experience with 49 Cases. Journal of Neurological Sciences (Turkish). 2017; 34(3): 222 - 230.
Vancouver	ALTINEL F,SÖYLEV G,Tuncali B,ALTINÖRS M Vertebroplasty in Vertebral Compression Fractures: Single Institute Experience with 49 Cases. Journal of Neurological Sciences (Turkish). 2017; 34(3): 222 - 230.
IEEE	ALTINEL F,SÖYLEV G,Tuncali B,ALTINÖRS M "Vertebroplasty in Vertebral Compression Fractures: Single Institute Experience with 49 Cases." Journal of Neurological Sciences (Turkish), 34, ss.222 - 230, 2017.
ISNAD	ALTINEL, FARUK vd. "Vertebroplasty in Vertebral Compression Fractures: Single Institute Experience with 49 Cases". Journal of Neurological Sciences (Turkish) 34/3 (2017), 222-230.