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. 2012 Sep;9(3):184-6.
Epub 2012 Dec 20.

Comparison of 50 vertebral compression fractures treated with surgical (kyphoplasty) or non surgical approach

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Comparison of 50 vertebral compression fractures treated with surgical (kyphoplasty) or non surgical approach

Stefano Giannotti et al. Clin Cases Miner Bone Metab. 2012 Sep.

Abstract

The presence of a vertebral fracture increases the risk of a new fracture within a year by at least five times and the risk further increases in case of recurrent fractures (domino effect).The pain and fracture kyphosis can compromise respiratory function. Many patients sustain serious cardiovascular, musculoskeletal, metabolic, and immune complications related to immobility and bedrest. This study is a clinical and radiological assessment of a consecutive cohort of 50 patients with vertebral fractures. We made comparison of 25 vertebral compression fractures treated with surgical (kyphoplasty) or non surgical approach.Systematic reviews of this procedure have shown significantly improved back pain and quality of life compared to conservative therapy. When performed by a well-trained practitioner in appropriately selected patients, kyphoplasty is a safe and effective treatment for fresh vertebral compression fractures.

Keywords: kyphoplasty; osteoporosis; social cost; vertebral compression fracture ( VCFs).

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Figures

Figure 1
Figure 1
Post operative x-ray of L1 fracture.
Figure 2
Figure 2
CT scan evaluates the integrity of the posterior somatic wall.
Figure 3
Figure 3
Intraoperative procedure shows trochar advanced through the pedicle.

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