Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Spine
Abstract number: 25355
PERCUTANEOUS CEMENT AUGMENTATION PROCEDURES IN
OSTEOPOROTIC VERTEBRAL COMPRESSION FRACTURE
Ramprasad KANCHERLA, Aravind JAYASWAL
AIIMS, New Delhi (INDIA)
Vertebral compression fractures are commonest manifestation of osteoporosis.
Percutaneous vertebral augmentation procedures Vertebroplasty and Kyphoplasty
are gaining popularity for the treatment of VCF in the world of raising demands of the
people. We performed a prospective, non randomized study consisting of 70 patients
who were diagnosed to acute osteoporotic compression fracture. 29 patients were
managed conservatively, 16 patients by kyphoplasty and 25 patients by
vertebroplasty. They were followed for pain by VAS score and for functional disability
by using Roland Morris questionnaire (FDI) in the immediate post operative period, 1
month, 3 months, 6 months and 12 months. Patients who underwent kyphoplasty had
a mean 68.8% pain relief in the immediate post operative period as compared to after
vertebroplasty (47.47%). There was no significant difference in pain and FDI scores
between kyphoplasty and vertebroplasty during the 1 year period. Patients after
cement augmentation procedures had better pain relief as compared to conservative
group which was significant at 1, 3 and 6 months and lost at 12 months. Better
restoration of functional ability was found after cement augmentation procedures
significant at 1 and 3 months and lost at 6 and 12 months follow up. Cement
augmentation procedures demonstrated even an additional benefit of restoration of
vertebral height and deformity correction. The cement augmentation techniques are
promising procedures for the treatment of osteoporotic VCF’s.
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