The Effectiveness of the Amount of Polymethylmethacrylate Used in the Treatment of Lumbar Osteoporotic Compression Fractures
Yıl: 2020 Cilt: 16 Sayı: 4 Sayfa Aralığı: 330 - 335 Metin Dili: İngilizce DOI: 10.5222/BMJ.2020.19483 İndeks Tarihi: 10-05-2021
The Effectiveness of the Amount of Polymethylmethacrylate Used in the Treatment of Lumbar Osteoporotic Compression Fractures
Öz: Objective: We aimed to investigate the effectiveness of the amount of polymethylmethacrylate used in pain control and maintenance of long-term vertebra corpus height in patients undergoing percutaneous vertebroplasty due to osteoporotic compression fracture of the lumbar vertebra.Method: A total of 60 patients who underwent unilateral percutaneous vertebroplasty between 2014 and 2019 due to osteoporotic compression fracture of the lumbar vertebrae were included in the study. Patients who received 5 ml and 3 ml cement injection wereretrospectively analyzed. Of patients, postoperative visual analogue scale (VAS) score and anterior vertebral height of the patients at 1st-year control were evaluated.Results: In the postoperative period, the mean visual analogue scale score was 2.3±0.46 in the 5 ml injected group and 2.2±0.4 in the 3 ml injected group (p5 ml=0.001, p3 ml= 0.001). There was a statistically significant decline in pain control in both groups. The mean anteriorvertebral height loss (AVHL) in the 5 ml injected group was 31.5±0.40%, and 32.6±0.47% in the 3 ml injected group (p5 ml=0.820, p3ml= 0.870). There was no statistically significant alteration in both groups.Conclusion: Our results indicate that the 3 ml polymethylmethacrylate injection during the percutaneous vertebroplasty procedure provides adequate pain control and stabilization in patients with lumbar vertebral osteoporotic fracture. Therefore we think that small amount ofpolymethylmethacrylate (3 ml) is sufficient to avoid undesirable complications in this patient group.
Anahtar Kelime: Lomber Osteoporotik Kompresyon Kırığının Tedavisinde Polimetilmetakrilat Miktarının Etkinliği
Öz: Amaç: Lomber vertebra osteoporotik kompresyon kırığı nedeniyle perkutan vertebroplasti yapılan hastalarda, kullanılan polimetilmetokrilat miktarının ağrı kontrolünde ve uzun dönem vertebra korpus yüksekliğinin korunmasındaki etkinliğini araştırmayı amaçladık. Yöntem: 2014 ve 2019 yılları arasında lomber vertebranın osteoporotik kompresyon kırığı nedeniyle uniletaral perkütan vertebroplasti işlemi uyguladığımız toplam 60 hasta çalışmaya dahil edilmiştir. 5 ml ve 3 ml sement enjeksiyonu yapılan hastalar retrospektif olarak incelenmiştir. Hastaların postoperatif VAS skorları ve 1. yıl kontrol anterior vertebra yükseklikleri değerlendirilmiştir. Bulgular: Postoperatif dönemde 5 ml enjeksiyon yapılan grupta ortalama VAS skoru 2,3±0,46 olur iken 3ml enjeksiyon yapılan grupta ortalama VAS skoru 2,2±0,4 idi. (p5 ml=0,001, p3 ml=0,001) Her iki grupta ağrı kontrolünde istatiksel olarak anlamlı bir gerileme tespit edildi. Hastaların ortalama anterior vertebra yükseklik kaybı; 5 ml enjeksiyon yapılan grupta %31,5±0,40 iken 3 ml enjeksiyon yapılan grupta %32,6±0,47 (p5 ml=0,820, p3 ml=0,870) idi. Her iki grupta da istatiksel olarak anlamlı değişim saptanmadı. Sonuç: Sonuçlarımız lomber osteoporotik vertebra fraktürü hastalarında perkütan vertebroplasti işlemi sırasında 3 ml polimetilmetokrilat enjeksiyonunun yeterli ağrı kontrolü ve stabilizasyonu sağladığnı göstermektedir. Bu nedenle bu hasta grubunda gereksiz komplikasyonlardan kaçınmak için daha az miktarda (3 ml) polimetilmetokrilat kullanımının yeterli olduğunu düşünmekteyiz.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | Yuksel M, ÇEVİK S, ERDOĞAN B, Katar S, tunçkale t, CALISKAN T, evran s (2020). The Effectiveness of the Amount of Polymethylmethacrylate Used in the Treatment of Lumbar Osteoporotic Compression Fractures. , 330 - 335. 10.5222/BMJ.2020.19483 |
| Chicago | Yuksel Mehmet onur,ÇEVİK Serdar,ERDOĞAN Barış,Katar Salim,tunçkale tamer,CALISKAN Tezcan,evran sevket The Effectiveness of the Amount of Polymethylmethacrylate Used in the Treatment of Lumbar Osteoporotic Compression Fractures. (2020): 330 - 335. 10.5222/BMJ.2020.19483 |
| MLA | Yuksel Mehmet onur,ÇEVİK Serdar,ERDOĞAN Barış,Katar Salim,tunçkale tamer,CALISKAN Tezcan,evran sevket The Effectiveness of the Amount of Polymethylmethacrylate Used in the Treatment of Lumbar Osteoporotic Compression Fractures. , 2020, ss.330 - 335. 10.5222/BMJ.2020.19483 |
| AMA | Yuksel M,ÇEVİK S,ERDOĞAN B,Katar S,tunçkale t,CALISKAN T,evran s The Effectiveness of the Amount of Polymethylmethacrylate Used in the Treatment of Lumbar Osteoporotic Compression Fractures. . 2020; 330 - 335. 10.5222/BMJ.2020.19483 |
| Vancouver | Yuksel M,ÇEVİK S,ERDOĞAN B,Katar S,tunçkale t,CALISKAN T,evran s The Effectiveness of the Amount of Polymethylmethacrylate Used in the Treatment of Lumbar Osteoporotic Compression Fractures. . 2020; 330 - 335. 10.5222/BMJ.2020.19483 |
| IEEE | Yuksel M,ÇEVİK S,ERDOĞAN B,Katar S,tunçkale t,CALISKAN T,evran s "The Effectiveness of the Amount of Polymethylmethacrylate Used in the Treatment of Lumbar Osteoporotic Compression Fractures." , ss.330 - 335, 2020. 10.5222/BMJ.2020.19483 |
| ISNAD | Yuksel, Mehmet onur vd. "The Effectiveness of the Amount of Polymethylmethacrylate Used in the Treatment of Lumbar Osteoporotic Compression Fractures". (2020), 330-335. https://doi.org/10.5222/BMJ.2020.19483 |
| APA | Yuksel M, ÇEVİK S, ERDOĞAN B, Katar S, tunçkale t, CALISKAN T, evran s (2020). The Effectiveness of the Amount of Polymethylmethacrylate Used in the Treatment of Lumbar Osteoporotic Compression Fractures. Bakırköy Tıp Dergisi, 16(4), 330 - 335. 10.5222/BMJ.2020.19483 |
| Chicago | Yuksel Mehmet onur,ÇEVİK Serdar,ERDOĞAN Barış,Katar Salim,tunçkale tamer,CALISKAN Tezcan,evran sevket The Effectiveness of the Amount of Polymethylmethacrylate Used in the Treatment of Lumbar Osteoporotic Compression Fractures. Bakırköy Tıp Dergisi 16, no.4 (2020): 330 - 335. 10.5222/BMJ.2020.19483 |
| MLA | Yuksel Mehmet onur,ÇEVİK Serdar,ERDOĞAN Barış,Katar Salim,tunçkale tamer,CALISKAN Tezcan,evran sevket The Effectiveness of the Amount of Polymethylmethacrylate Used in the Treatment of Lumbar Osteoporotic Compression Fractures. Bakırköy Tıp Dergisi, vol.16, no.4, 2020, ss.330 - 335. 10.5222/BMJ.2020.19483 |
| AMA | Yuksel M,ÇEVİK S,ERDOĞAN B,Katar S,tunçkale t,CALISKAN T,evran s The Effectiveness of the Amount of Polymethylmethacrylate Used in the Treatment of Lumbar Osteoporotic Compression Fractures. Bakırköy Tıp Dergisi. 2020; 16(4): 330 - 335. 10.5222/BMJ.2020.19483 |
| Vancouver | Yuksel M,ÇEVİK S,ERDOĞAN B,Katar S,tunçkale t,CALISKAN T,evran s The Effectiveness of the Amount of Polymethylmethacrylate Used in the Treatment of Lumbar Osteoporotic Compression Fractures. Bakırköy Tıp Dergisi. 2020; 16(4): 330 - 335. 10.5222/BMJ.2020.19483 |
| IEEE | Yuksel M,ÇEVİK S,ERDOĞAN B,Katar S,tunçkale t,CALISKAN T,evran s "The Effectiveness of the Amount of Polymethylmethacrylate Used in the Treatment of Lumbar Osteoporotic Compression Fractures." Bakırköy Tıp Dergisi, 16, ss.330 - 335, 2020. 10.5222/BMJ.2020.19483 |
| ISNAD | Yuksel, Mehmet onur vd. "The Effectiveness of the Amount of Polymethylmethacrylate Used in the Treatment of Lumbar Osteoporotic Compression Fractures". Bakırköy Tıp Dergisi 16/4 (2020), 330-335. https://doi.org/10.5222/BMJ.2020.19483 |
