title: Percutaneous Vertebroplasty versus Conservative Treatment for One Level Thoracolumbar Osteoporotic Compression Fracture: Results of an Over 2-Year Follow-up.
abstract: We retrospectively compared the clinical and radiological results of percutaneous vertebroplasty with those of conservative treatment in the management of thoracolumbar osteoporotic compression fractures. Sixty-five patients who could be followed up for more than 2 years with thoracic and lumbar spine osteoporotic compression fractures, between January 2005 and October 2010, were reviewed. The patients were divided into 2 groups according to the type of management: group 1, non-operated group treated conservatively; group 2, operated group that underwent percutaneous vertebroplasty. We assessed the clinical and radiological changes at postoperative and follow-up periods in both groups.The male-to-female ratio and mean age of the patients were 11:54 and 73.04 years (range, 50 - 90 years), respectively. The location and number of treated vertebrae were as follows: T4 = 1, T6 = 1, T7 = 3, T8 = 1, T9 = 2, T10 = 1, T11 = 8, T12 = 11, L1 = 17, L2 = 10, L3 = 6, L4 = 3, and L5 = 1. The mean T-score was -3.37. The overall VAS score and the VAS score until 6 months post-injury were statistically more improved in group 2 than in group 1 (P < 0.05 and P < 0.005, respectively). Overall, the compression ratio was statistically more improved in group 2 than in group 1 (P < 0.05).Early pain control and restoration of the compressed vertebral body are the beneficial and real effects of percutaneous vertebroplasty in patients with thoracolumbar osteoporotic compression fractures.
authors.affiliation: Department of Neurosurgery, Dongtan Sacred Heart Hospital, Hallym University, Hwaseong, Korea.
authors.forename: Ho Jun
authors.initials: HJ
authors.lastname: Yi
authors.affiliation: Department of Neurosurgery, Soon Chun Hyang University Bucheon Hospital, Gyeonggi-do, Korea.
authors.forename: Je Hoon
authors.initials: JH
authors.lastname: Jeong
authors.affiliation: Department of Neurosurgery, Soon Chun Hyang University Bucheon Hospital, Gyeonggi-do, Korea.
authors.forename: Soo Bin
authors.initials: SB
authors.lastname: Im
authors.affiliation: Department of Neurosurgery, Chonnam National University Hospital, Gwangju, Korea.
authors.forename: Jung Kil
authors.initials: JK
authors.lastname: Lee
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000072700:Conservative Treatment / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D050815:Fractures, Compression / Q000601:surgery*; D006801:Humans; D008159:Lumbar Vertebrae / Q000601:surgery; D008297:Male; D008875:Middle Aged; D058866:Osteoporotic Fractures / Q000601:surgery*; D012189:Retrospective Studies; D016103:Spinal Fractures / Q000601:surgery*; D013904:Thoracic Vertebrae / Q000601:surgery; D016896:Treatment Outcome; D054854:Vertebroplasty / Q000379:methods*