title: ASA III osteoporotic fracture in 62 patients treated with vertebroplasty under local anesthesia.
abstract: Vertebroplasty is a minimally invasive procedure that may be performed under either local or general anesthesia. In this study, we aimed at assessing the outcomes of the vertebroplasty performed under local anesthesia in patients at high risk of general anesthesia. Vertebroplasty was performed under local anesthesia in the treatment of a total of 62 patients (68 vertebrae in total) with osteoporotic vertebral fractures between 2011 and 2013. None of the patients had a history of trauma. Patients who were classified as ASA III during the preoperative examinations were included in the study. VAS scores were evaluated before the surgery, on the first postoperative day, and in week 1 and in month 1 after the surgery. The average age was 77.5 years (age range 53-102). An average of 2 cc of cement was injected to 22 patients (35.5 %), and an average of 3 cc of cement was injected to 40 patients (64.5 %). The mean VAS scores were 7.52 (6-9) before the procedure, 3.55 (2-5) on the first day, 2.03 (0-4) in week 1 and 0.87 (0-2) in month 1 postoperatively. Asymptomatic cement embolism was detected in one patient. No other complications were observed in the study group. Vertebroplasty performed under local anesthesia is an effective and safe procedure in terms of pain control and early ambulation and is bereft of the complications associated with general anesthesia.
authors.affiliation: Orthopaedia and Traumatology Department, Memorial Hizmet Hospital, Halkalı Caddesi Yeşilköy Toplu Konut Sitesi A 31, Yeşilköy, Istanbul, Turkey. drtuluhan@yahoo.com.
authors.forename: Tuluhan Yunus
authors.initials: TY
authors.lastname: Emre
authors.affiliation: Orthopaedia and Traumatology Department, Florence Nightingale Bilim Üniversitesi, Istanbul, Turkey. bahadrgokcen@gmail.com.
authors.forename: H Bahadır
authors.initials: HB
authors.lastname: Gökcen
authors.affiliation: Orthopaedia and Traumatology Department, Ankara Military Hospital, Ankara, Turkey. zatbasi@yahoo.com.
authors.forename: Zafer
authors.initials: Z
authors.lastname: Atbaşı
authors.affiliation: Physical Medicine and Rehabilitation Department, Medicine Hospital, Istanbul, Turkey. gulisd@hotmail.com.
authors.forename: Gülis
authors.initials: G
authors.lastname: Kavadar
authors.affiliation: Orthopaedia and Traumatology Department, Istanbul Florence Nightingale İstanbul Omurga Center, Istanbul, Turkey. enercan@yahoo.com.
authors.forename: Meriç
authors.initials: M
authors.lastname: Enercan
authors.affiliation: Orthopaedia and Traumatology Department, Florence Nightingale Bilim Üniversitesi, Istanbul, Turkey. cgtyztrk@yahoo.com.
authors.forename: Cagatay
authors.initials: C
authors.lastname: Ozturk
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000772:Anesthesia, Local / Q000379:methods*; D000779:Anesthetics, Local; D001843:Bone Cements / Q000627:therapeutic use; D002045:Bupivacaine; D005260:Female; D050815:Fractures, Compression / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D033162:Incidental Findings; D007278:Injections, Spinal; D008159:Lumbar Vertebrae / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D058866:Osteoporotic Fractures / Q000175:diagnosis / Q000601:surgery*; D010146:Pain / Q000517:prevention & control; D019904:Polymethyl Methacrylate / Q000627:therapeutic use; D016103:Spinal Fractures / Q000175:diagnosis / Q000601:surgery*; D013904:Thoracic Vertebrae / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D054854:Vertebroplasty / Q000379:methods*
chemical_list: D000779:Anesthetics, Local; D001843:Bone Cements; D019904:Polymethyl Methacrylate; D002045:Bupivacaine
keywords: ASA III; General anesthesia; Local anesthesia; Vertebroplasty