Role of Percutaneous Vertebroplasty in Management of Osteoporotic Spine Fractures, AHMED M. KOHEIL, MOSTAFA M.W. KOTB, MOHAMED MOHEY and ALAA ABDEL FATTAH
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Role of Percutaneous Vertebroplasty in Management of Osteoporotic Spine Fractures, AHMED M. KOHEIL, MOSTAFA M.W. KOTB, MOHAMED MOHEY and ALAA ABDEL FATTAH
Abstract
Objective: The aim of this work is to evaluate the outcomes of Percutaneous vertebroplasty of pathological fractures secondary to osteoporotic spine fractures.
Methods: 10 patients having pathological fractures sec-ondary to osteoporosis in the dorsal and lumbar spine were included in this study and were operated upon using Percuta-neous vertebroplasty. Postoperatively, patients were evaluated and followed-up for their neurological integrity, deficits and outcome.
Results: 10 patients were operated upon. The median age of presentation in this study was 67.5 years. There was 3 males (30%) and 7 females (70%). In this study the main presentation of patients with osteoporotic fractures of the dorsal and lumbar spine was pain in all the 10 patients (100%). In this study the distribution of vertebral compression fracture for metastatic spine fractures was from the ninth dorsal vertebrae to the fifth lumbar vertebrae with 58% of the fractures in the dorsal spine and 42% in the lumbar spine. Postopera-tively, in this study seven patients (70%) showed pain im-provement. The complication rate for management of os-teoporotic fractures of the dorsal and lumbar spine was 10% (1 patient) in the form of anaphylactic reaction.
Conclusion: Our study confirms that Percutaneous verte-broplasty of pathological fractures secondary to osteoporotic spine fractures is generally safe, effective and well-tolerated by patients. However, studies have proven that the long term follow-up did not show any difference from conservative management of the pathological fractures secondary to os-teoporotic spine fractures.