개인구독
소속 기관이 없으신 경우, 개인 정기구독을 하시면 저렴하게
논문을 무제한 열람 이용할 수 있어요.
지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2014.1
- 수록면
- 15 - 21 (7page)
이용수
초록· 키워드
오류제보하기
Objectives: To analyze the treatment results of combined treatment with percutaneous vertebroplasty and adhesiolysis in the patients who happened the osteoporotic compression fractures during the conservative treatment of pre-existing degenerative spinal stenosis.
Materials and Methods: A retrospective review was carried out on 38 patients who happened the osteoporotic compression fractures during the conservative treatment of pre-existing degenerative spinal stenosis. We performed percutaneous vertebroplasty for osteoporotic compression fractures and adhesiolysis for degenerative spinal stenosis after 4 weeks after vertebroplasty. Radiologic results were evaluated by progression of compression rate, fractures in adjacent segment and change of the BMD.
Clinical results were evaluated with Denis pain scale for osteoporotic compression fractures and Katz satisfaction scale for degenerative spinal stenosis.
Results: The compression rate was 30.2% preoperatively, 21.4% postoperatively, and 24.6% at 12 months postoperatively. There was no fracture in adjacent segment. Clinically, the Denis score were P3 in 13 and P4 in 25, preoperatively, P1 in 11 and P2 in 26, P3 in 1, postoperatively (P=0.03). In regard to degenerative diseases, the Kats scale were 38 to 5, 86.8% in low back pain (P=0.017) and 38 to 4, 89.4% in claudication (P=0.006). The overall Katz satisfaction scale was 81.5% at 12 months postoperatively. The BMD changes in patients who treated neuroplasty was not significant (P=0.175).
Conclusions: The combined treatment with percutaneous vertebroplasty and adhesiolysis may be an effective treatment strategy for the osteoporotic compression fracture and spinal stenosis without surgical intervention in old age patients.
목차
등록된 정보가 없습니다.
참고문헌 (19)
참고문헌 신청
Acosta FL, Jr. / 2005 / Kyphoplasty-augmented short-segment pedicle screw fixation of traumatic lumbar burst fractures: initial clinical experience and literature review / N
Al-Shoha A / 2012 / Effect of epidural steroid injection on bone mineral density and markers of bone turnover in postmenopausal women / Spine (Phila Pa 1976) 37 (25) : E1567
Bonaldi G / 2012 / Percutaneous treatment of lumbar compression fracture with canal stenosis and neurogenic intermittent claudication: combining kyphoplasty and interspinous
Cortet B / 1997 / Percutaneous vertebroplasty in patients with osteolytic metastases or multiple myeloma / Rev Rhum Engl Ed 64 (3) : 177 ~ 183
Denis F. / 1983 / The three column spine and its significance in the classification of acute thoracolumbar spinal injuries / Spine (Phila Pa 1976) 8 (8) : 817 ~ 831
Al-Shoha A / 2012 / Effect of epidural steroid injection on bone mineral density and markers of bone turnover in postmenopausal women / Spine (Phila Pa 1976) 37 (25) : E1567
Bonaldi G / 2012 / Percutaneous treatment of lumbar compression fracture with canal stenosis and neurogenic intermittent claudication: combining kyphoplasty and interspinous
Cortet B / 1997 / Percutaneous vertebroplasty in patients with osteolytic metastases or multiple myeloma / Rev Rhum Engl Ed 64 (3) : 177 ~ 183
Denis F. / 1983 / The three column spine and its significance in the classification of acute thoracolumbar spinal injuries / Spine (Phila Pa 1976) 8 (8) : 817 ~ 831
이 논문의 저자 정보
최근 본 자료
댓글(0)
0