[Treatment of severe vertebral compressive fractures in the elderly with percutaneous vertebroplasty].
OBJECTIVE
To evaluate the efficacy of treating severe and chronic vertebral compressive fractures in the elderly with percutaneous vertebroplasty.


METHODS
Sixteen patients who suffered from severe back pain and whose daily living was badly affected were retrospectively reviewed. The average age was 72.5 years, the average disease history was 19 months, and the average compressive rate of the affected vertebral bodies was 74.1%.


RESULTS
Nineteen affected compressive vertebral bodies in 16 cases were treated with percutaneous vertebroplasty. All the procedures were successful without any complication. After 3.5-7 ml of cement was injected into the lesions, complete relief was achieved in 3 cases, remarkable relief was achieved in 11 cases, and improvement was observed in 2 cases. The scores of 6-point Behavioral Rating Scale and Activity of Daily Living (ADL) declined significantly after the treatment (P < 0.001).


CONCLUSIONS
Percutaneous vertebroplasty can significantly improve the symptoms and quality of life in the elderly patients with severe and chronic vertebral compressive fractures.
Yang
Xin-jian
XJ
Department of Interventional Neuroradiology, Institute of Neuroscience, CAMS and PUMC, Beijing 100050, China. yang-xj@163.net
Wu
Zhong-xue
ZX
Lin
Xin
X
Zhang
You-ping
YP
Liu
Ai-hua
AH
Shi
Wan-chao
WC
D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D001416:Back Pain / Q000601:surgery*; D001843:Bone Cements / Q000627:therapeutic use*; D005260:Female; D005598:Fractures, Spontaneous / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008159:Lumbar Vertebrae / Q000601:surgery; D008297:Male; D019637:Orthopedic Procedures / Q000379:methods*; D010024:Osteoporosis / Q000150:complications; D011788:Quality of Life; D012189:Retrospective Studies; D016103:Spinal Fractures / Q000209:etiology / Q000601:surgery*; D013904:Thoracic Vertebrae / Q000601:surgery
D001843:Bone Cements