%0 Journal Article
%T Vertebroplasty and kyphoplasty: complementary tecniques for the treatment of painful osteoporotic vertebral compression fractures
%A Lovi
%A Alessio
%A Teli
%A Marco
%A Ortolina
%A Alessandro
%A Costa
%A Francesco
%A Fornari
%A Maurizio
%A Brayda-Bruno
%A Marco
%J Coluna/Columna
%D 2009
%I Sociedade Brasileira de Coluna (SBC)
%R 10.1590/S1808-18512009000100011
%X objective: in a prospective study, we aimed to evaluate the potential use of kyphoplasty (kp) and vertebroplasty (vp) as complementary techniques in the treatment of painful osteoporotic vertebral compression fractures (vcfs). methods: after one month of conservative treatment for vcfs, patients with intractable pain were offered treatment with kp or vp according to a treatment algorithm that considers time from fracture (£¿t) and amount of vertebral body collapse (vbc). bone biopsy was obtained intraoperatively to exclude patients affected by malignancy or osteomalacia. results: hundred and sixty-four patients were included according to the above criteria. mean age was 67.6 years. mean followup was 33 months. ten patients (6.1%) were lost to follow-up and 154 reached the minimum two years follow-up. 118 (69.5%) underwent vp and 36 (30.5%) underwent kp. complications affected five patients treated with vp, whose one suffered a transient intercostal neuropathy and four a subsequent vcf (two at adjacent level). results in terms of vas and oswestry scores were not different among treatment groups. conclusion: in conclusion, at an average follow-up of almost 3 years from surgical treatment of osteoporotic vcfs, vp and kp show similar good clinical outcomes and appear to be complementary techniques with specific different indications.
%K vertebroplasty
%K spinal fractures [surgery]
%K osteoporosis [complications]
%K fractures
%K compression [surgery]
%K kyphosis [surgery]
%K lumbar vertebrae [surgery].
%U http://www.scielo.br/scielo.php?script=sci_abstract&pid=S1808-18512009000100011&lng=en&nrm=iso&tlng=en