Izvorni znanstveni članak

Open vertebroplasty for treating the metastatic compression fractures of the vertebral body and reducing pain syndrome

Vjeran Rapan ; Josip juraj Strossmayer University of Osijek, Faculty of Medicine, Osijek, Croatia
Dean Girotto ; University of Rijeka, Faculty of Medicine, Department of Neurosurgery, Rijeka, Croatia
Domagoj Rapan ; Josip juraj Strossmayer University of Osijek, Faculty of Medicine, Osijek, Croatia
Vjekoslav Kolarević ; Josip juraj Strossmayer University of Osijek, Faculty of Medicine, Department of Orthopaedics, Osijek, Croatia
Egon Biuk ; Josip juraj Strossmayer University of Osijek, Faculty of Medicine, Osijek, Croatia
Boris Žulj ; Josip juraj Strossmayer University of Osijek, Faculty of Medicine, Department of Orthopaedics, Osijek, Croatia
Saša Rapan ; Josip juraj Strossmayer University of Osijek, Faculty of Medicine, Osijek, Croatia

Sažetak

Objectives: The aim of this study was to examine the efficacy of the operative procedure, open
vertebroplasty, by comparing and evaluating the clinical results before and after open vertebroplasty in the
treatment of vertebral fractures with spinal canal compression. Success of the surgery is defined by
increased or reduced pain intensity before and after the treatment, as assessed using the Visual Analogue
Scale (VAS).
Participants and methods: Data for the patients treated for vertebral fractures with open vertebroplasty
were retrospectively collected at the Institute for Orthopaedics of the Clinical Hospital Centre Osijek. The
analyzed data included: gender, duration of the illness, the intensity of pain before and after the treatment
(using the VAS), neurological status, radiological changes of the treated vertebral segment, before and after
the treatment, grade of vertebral fracture, and extracorporeal cement leakage from the vertebra body to the
surrounding tissue during the procedure.
Results: The study included 23 patients, of whom 13 were females and ten were males. The difference
in pain before and after the surgery was statistically significant. All the patients complained of pain before
the surgery, and the pain intensity median was 8 (interquartile range 7, 5 to 9). However, after the surgery,
pain intensity decreased in all the patients, and the pain intensity median was 2.5 (interquartile range 2 to
3).
Conclusion: Improvement in clinical results of the treatment of vertebral metastatic fractures with
spinal stenosis with open vertebroplasty proves to be significant.

Ključne riječi

vertebroplasty; spinal fracture; compression fracture; metastasis; pain

Hrčak ID:

322952

URI

https://hrcak.srce.hr/322952

Datum izdavanja:

29.11.2024.

Posjeta: 0 *