title: Kyphoplasty for the treatment of painful osteoporotic thoracolumbar burst fractures.
abstract: This study explored the feasibility and clinical outcome of kyphoplasty for the treatment of painful osteoporotic thoracolumbar burst fractures without neurological deficit. A total of 25 consecutive patients with painful type-A3 amyelic thoracolumbar fractures without neurological deficit were treated by kyphoplasty. Pain was measured using the self-reporting visual analog pain scale (VAS) preoperatively, postoperatively, and at 6-month follow-up. Disability was measured using the Oswestry Disability Index (ODI) preoperatively, postoperatively, and at 6-month follow-up. The height of the fractured vertebral body, kyphotic angle, and spinal canal compromise were measured preoperatively, postoperatively, and at 6-month follow-up. Relief of pain was achieved 24 hours postoperatively. Mean VAS score decreased from 8.2+/-1.3 preoperatively to 2.8+/-0.8 postoperatively (P<.05), and was maintained at 2.9+/-1.1 at 6-month follow-up. The ODI score varied from 68.2%+/-6.6% preoperatively to 35.3%+/-2.8% postoperatively (P<.05). Improvement was maintained at 6-month follow-up. Postoperatively, the height of anterior vertebrae (Ha) was restored from 61.5%+/-13.9% to 85.3%+/-10.6%, the height of midline vertebrae (Hm) restored from 73.0%+/-19.3% to 83.3%+/-7.4%, the kyphotic angle from 21.7 degrees +/-7.8 degrees to 8.6 degrees +/-6.6 degrees, and the spinal canal compromise from 20.1%+/-4.1% to 17.8%+/-1.3%. At 6-month follow-up, maintenance of the height restoration and kyphotic deformity correction was found. No significant difference was noted in pre- and postoperative spinal canal compromise. Kyphoplasty is a relatively safe and effective method for the treatment of painful osteoporotic thoracolumbar burst fractures.
authors.affiliation: Department of Orthopedics, The First Affiliated Hospital of Soochow University, Suzhou, China.
authors.forename: Minfeng
authors.initials: M
authors.lastname: Gan
authors.forename: Huilin
authors.initials: H
authors.lastname: Yang
authors.forename: Feng
authors.initials: F
authors.lastname: Zhou
authors.forename: Jun
authors.initials: J
authors.lastname: Zou
authors.forename: Genlin
authors.initials: G
authors.lastname: Wang
authors.forename: Xin
authors.initials: X
authors.lastname: Mei
authors.forename: Zhonglai
authors.initials: Z
authors.lastname: Qian
authors.forename: Liang
authors.initials: L
authors.lastname: Chen
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001416:Back Pain / Q000209:etiology* / Q000517:prevention & control*; D005260:Female; D005598:Fractures, Spontaneous / Q000209:etiology / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D010024:Osteoporosis / Q000150:complications* / Q000628:therapy*; D016103:Spinal Fractures / Q000209:etiology* / Q000628:therapy*; D013904:Thoracic Vertebrae / Q000601:surgery; D016896:Treatment Outcome; D054854:Vertebroplasty / Q000379:methods*