title: Early effects of vertebroplasty or kyphoplasty versus conservative treatment of vertebral compression fractures in elderly polytrauma patients.
abstract: OBJECTIVE
  This study aims to assess the early effects of operatively and nonoperatively managed vertebral compression fractures (VCFs) in elderly polytrauma patients.
  
  
  METHODS
  A multi-center retrospective cohort study of operative treatment [vertebroplasty (VP) or kyphoplasty (KP)] versus nonoperative treatment (bed rest).
  
  
  RESULTS
  A total of 40 patients received operative treatment and 59 patients received nonoperative treatment. The mean length of hospital stay was 15.53 ± 6.994 days in the operative and 19.54 ± 12.012 days in the nonoperative group (P = 0.039). The incidence of complication was higher in the nonoperative group than the operative group (P = 0.009), especially the incidence of bed rest complication (P = 0.024). Mortality rate was not significant difference between two groups (P = 0.172).
  
  
  CONCLUSIONS
  For VCFs in elderly polytrauma patients, VP or KP can reduce length of hospital stay and complications, especially bed rest complication compared with nonoperative treatment.
authors.affiliation: Department of Orthopaedics, Fuxing Hospital, Capital Medical University, Beijing, 100038, China.
authors.forename: Yonggang
authors.initials: Y
authors.lastname: Li
authors.affiliation: Department of Orthopaedics, Beijing Chaoyang Hospital, Capital Medical University, No.8 Gongti Nan Road, Chaoyang District, Beijing, 100020, China. yonghaidoc@126.com.
authors.forename: Yong
authors.initials: Y
authors.lastname: Hai
authors.affiliation: Department of Orthopaedics, Fuxing Hospital, Capital Medical University, Beijing, 100038, China.
authors.forename: Liping
authors.initials: L
authors.lastname: Li
authors.affiliation: Department of Orthopaedics, The Second Hospital of Shanxi Medical University, Taiyuan, 030001, China.
authors.forename: Yi
authors.initials: Y
authors.lastname: Feng
authors.affiliation: Department of Orthopaedics, The Second Affiliated Hospital of Inner Mongolia Medical University, Huhehaote, 010030, China.
authors.forename: Mingbo
authors.initials: M
authors.lastname: Wang
authors.affiliation: Department of Orthopaedics, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China.
authors.forename: Guanglei
authors.initials: G
authors.lastname: Cao
mesh_terms: D000368:Aged; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D050815:Fractures, Compression / Q000601:surgery*; D006801:Humans; D058498:Kyphoplasty / Q000379:methods*; D007902:Length of Stay / Q000639:trends; D008297:Male; D009104:Multiple Trauma / Q000601:surgery*; D012189:Retrospective Studies; D016103:Spinal Fractures / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome; D054854:Vertebroplasty / Q000379:methods*
keywords: Elderly polytrauma; Vertebral compression fractures; Vertebroplasty or kyphoplasty