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Unilateral Versus Bilateral Kyphoplasty for Osteoporotic Vertebral Compression Fractures

机译:单侧与双侧后凸成形术治疗骨质疏松性椎体压缩性骨折

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Study Design A retrospective study of patients who underwent kyphoplasty at a single institute.Objective To examine and compare the safety and long-term radiographic and clinical effects of unilateral or bilateral kyphoplasty to treat symptomatic vertebral compression fractures (VCF).Summary of Background Data Kyphoplasty (KP) involves placement of inflatable bone tamp via unilateral and bilateral approaches.Few randomized study comparing the radiographic and clinical outcomes using unilateral and bilateral approaches was reported.Methods 50 patients with osteoporotic vertebral compression fractures (VCF) were allocated into two groups adopting unilateral or bilateral kyphoplasty.Preoperative and postoperative pain scores,Vertebral body height were compared and analyzed.Results Both unilateral and bilateral kyphoplasty resulted in significant pain reduction.Significant increases of midline vertebral body height were recorded for both groups after surgery and maintained for the period of follow-up.Asymptomatic cement extravasation occurred in 8 of 50 patients,and 2 patients developed additional fractures at untreated levels during the period of follow-up.Conclusions Both unilateral and bilateral KP can improve clinical effects of osteoporotic VCF and result in significant vertebral height restoration for at least 18 months after treatment.
机译:研究设计回顾性研究在单个机构进行后凸成形术的患者。目的检查和比较单侧或双侧后凸成形术治疗有症状的椎体压缩性骨折(VCF)的安全性,长期放射照相和临床效果。 (KP)涉及通过单侧和双侧方法置入可充气骨填塞物。很少有随机研究比较使用单侧和双侧方法进行放射学和临床结果。方法将50例骨质疏松性椎体压缩性骨折(VCF)患者分为两组,采用单侧比较和分析术前和术后疼痛评分,椎体高度。结果单侧和双侧后凸矫形均能明显减轻疼痛。两组患者中线椎体高度显着增加,并维持了一段时间。随访:50例中有8例发生无症状的水泥外渗,在随访期间有2例在未治疗的水平上发生了额外的骨折。结论单侧和双侧KP均可改善骨质疏松性VCF的临床效果并导致明显的椎骨治疗后至少18个月的高度恢复。

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