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
- 2015.1
- 수록면
- 88 - 94 (7page)
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초록· 키워드
오류제보하기
Introduction: We found a spontaneous fusion at adjacent vertebrae after percutaneous vertebroplasty (PVP) or kyphoplasty in osteoporotic compression fractures and analyze the radiologic & clinical characteristics.
Materials & Methods: Between January 2000 and December 2011, 555 patients were treated with PVP or kyphoplasty for osteoporotic compression fracture in our department. We classified the spontaneous fusion as two groups. One is solid spontaneous fusion group with at least three cortical continuity to adjacent vertebrae, the other is partially fusion group which progressed fusion compared to previous radiologic finding. We reviewed the plain film and analyzed the radiologic characteristics of those patients with duration of fusion, location and extent of fused segments. A clinical characteristic by visual analogue score (VAS) compared to our previous report was checked.
Results: Among them, 54 patients (9.7%) had an solid spontaneous fusion and 43 patients (7.7%) had partially fused on plane image. In solid fusion group, the average duration of fusion was 19 months ranged of 3 to 48 months. Forty six cases (85%) of solid fusion patients had occurred with proximal adjacent vertebrae and 7 cases (13%) had proximal with distal adjacent vertebrae. Forty one cases (76%) of spontaneous fusion occurred within 1 segment and 13 cases within multiple segments. The most cases of solid fusion group were occurred at thoracolumbar junction (40 patients, 74%). Mean VAS score of solid fusion group was 2.0 at final follow-up and were analyzed relatively low score compared to mean VAS of our previous report (2.0, 2.8 respectively).
Conclusion: After percutaneous vertebroplasty or kyphoplasty in osteoporotic compression fracture, unpredictable spontaneous fusion could develop more than 10% rate, especially with proximal vertebra within 1 segment at thoracolumbar junction in radiologic aspect. Clinically, patients with spontaneous fusion had a tendency of more reduced pain than others.
목차
등록된 정보가 없습니다.
참고문헌 (16)
참고문헌 신청
Barr JD / 2000 / Percutaneous vertebroplasty for pain relief and spinal stabilization / Spine (Phila Pa 1976) 25 : 923 ~ 928
Braunstein V / 2008 / Long-term reaction to bone cement in osteoporotic bone: new bone formation in vertebral bodies after vertebroplasty / J Anat 212 : 697 ~ 670
Cotten A / 1997 / Vertebroplasty: current data and future potential / Rev Rhum Engl Ed 64 : 645 ~ 649
Grados F / 2000 / Long-term observations of vertebral osteoporotic fractures treated by percutaneous vertebroplasty / Rheumatology (Oxford) 39 : 1410 ~ 1414
Jensen ME / 1997 / Percutaneous polymethylmethacrylate vertebroplasty in the treatment of osteoporotic vertebral body compression fractures:technical aspects / AJNR Am J Neur
Braunstein V / 2008 / Long-term reaction to bone cement in osteoporotic bone: new bone formation in vertebral bodies after vertebroplasty / J Anat 212 : 697 ~ 670
Cotten A / 1997 / Vertebroplasty: current data and future potential / Rev Rhum Engl Ed 64 : 645 ~ 649
Grados F / 2000 / Long-term observations of vertebral osteoporotic fractures treated by percutaneous vertebroplasty / Rheumatology (Oxford) 39 : 1410 ~ 1414
Jensen ME / 1997 / Percutaneous polymethylmethacrylate vertebroplasty in the treatment of osteoporotic vertebral body compression fractures:technical aspects / AJNR Am J Neur
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