Abstract
By a long term follow-up, we evaluated the effects of conservative treatment for refracture of cemented vertebrae after percutaneous vertebroplasty (PVP). 12 patients of 324 patients who underwent PVP from January 2012 to August 2014, with back pain, were confirmed refracture in cemented vertebrae. 7 patients got conservative treatment: the usage of analgesics, osteoporosis medication, brace and physical therapy. Visual analogue seale (VAS) and Oswestry disability index (ODI) were evaluated at 7 days, 1, 3 and 12 months after treatment. Patients were followed up for 21.3 ± 11.2 months. Compared with that before treatment, VAS and ODI scores were significantly decreased after treatment (P 0.05). Further, there were no complications happened, such as leg phlebothrombosis, decubitus and hypostatic pneumonia. Thus, the results of our conservative treatment were optimal. Accordingly, the ratio of refracture in cemented vertebrae after PVP is low, but it is critical for back pain after PVP which should be pay enough attention for clinicians. Conservative treatment can relieve pain and improve spine function, without obvious complications.
Highlights
Osteoporotic vertebral compression fractures (OVCFs) is common among elder people [1]
Along with the widespread application and increasing cases of Percutaneous vertebroplasty (PVP), the postoperative recurrence of back pain is increasing yearly, the reason of which is due to the new compression fractures of adjacent vertebrae [5, 6]
By using visual analog scale (VAS) and Oswestry disability indexes (ODI) at different time points and by observing complications such as phlebothrombosis of leg, decubitus and hypostatic pneumonia, we evaluated the clinical curative effect and safety of conservative treatment for refracture in cemented vertebrae after PVP
Summary
Osteoporotic vertebral compression fractures (OVCFs) is common among elder people [1]. Along with the widespread application and increasing cases of PVP, the postoperative recurrence of back pain is increasing yearly, the reason of which is due to the new compression fractures of adjacent vertebrae [5, 6]. The increasing risk of adjacent vertebral fractures after PVP is confirmed by many studies, which aroused great attention of clinicians [7]. There are refractures of cemented vertebrae after PVP, of which the ratio is low with afferent statistical data [8, 9]. By using visual analog scale (VAS) and Oswestry disability indexes (ODI) at different time points and by observing complications such as phlebothrombosis of leg, decubitus and hypostatic pneumonia, we evaluated the clinical curative effect and safety of conservative treatment for refracture in cemented vertebrae after PVP
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