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paraphrasedoutput:Methods: We enrolled a total of 75 patients with severe osteoporotic vertebral compression fracture in patients with acute osteoporotic vertebral compression fracture with or without intravertebral cleft cleft. To comparatively review the medical and radiographic outcomes of percutaneous kyphoplasty in patients with acute osteoporotic vertebral compression fracture between January 2016 and December 2018, we compared the clinical and radiographic findings of percutaneous kypho cleft Conclusion: The VAS and ODI scores in both groups dropped dramatically one month, one year, and three years after surgical research came less than three years ago, and three years after surgery than preoperative findings, and a statistical difference was found between the two groups three years after surgery. During a long-term follow-up, the NIVC group had better clinical results and could maintain spinal sagittal balance better than the IVC group, according to a key word: kyphoplasty, serious osteoporotic vertebral compression fracture, intervertebral cleft, and sagittal balance.
Diffuse idiopathic skeletal hyperostosis is a systemic medical disorder characterized by new bone synthesis mainly at the anterolateral spine. Patients with DISH patients who also suffer from vertebral fractures are often required for screw fixation. We tell a DISH case of lumbar vertebral fracture and osteoporosis who underwent percutaneous kyphoplasty plus braces and medications in this case.
Source link: https://doi.org/10.3389/fsurg.2022.922139
paraphrasedoutput:Methods is a video that explains whyThe present study was intended to compare conservative and percutaneous kyphoplasty on pain relief and recovery of fractured vertebrae in elderly patients with acute symptomatic osteoporotic vertebral compression fractures in elderly patients with acute symptomatic osteoporotic vertebral compression fractures in elderly patients with acute symptomatic OVCF, with 30 patients in each group divided into two groups based on different treatment protocols. Patients in the Con group received conservative medicine, while patients in the PKP group received percutaneous kyphoplasty therapy.
Source link: https://doi.org/10.3389/fsurg.2022.942195
Conclusion and ConclusionThis meta-analysis reported that RA-kyphoplasty delivered a higher VH than the FA group at both postoperation and final follow-up; the back pain VAS score in the RA group was lower than that in the FA group at postoperation and final follow-up; and the cement leakage rate in vertebral compression fractures was lower than that in the FA group; and the FA group's at postoperation and final follow-up; and the FA group's.
Source link: https://doi.org/10.3389/fsurg.2022.955966
Abstract Background: After percutaneous kyphoplasty by establishing a three-dimensional finite element model of osteoporosis, it is possible to investigate the stress differences in different bone cement blends and injection volumes in nearby vertebrae. Some differences can be found between the effects of different cement injection volumes and cement morphology on adjacent structures after percutaneous kyphoplasty was performed to the L2 vertebral body. When the bone cement injection volume was 2 ml, there was no significant difference between the two groups. When the amount of bone cement was injected was 4 ml, the bone cement morphology of the bilateral integration group caused less stress on adjacent vertebral bodies than between adjacent vertebral bodies. Conclusions: According to the present finite element report, bilateral integration bone cement is a safe form of cement injection, and if the injection volume is 4 ml, it reduces stress on adjacent segments by about 15% while retaining the integrity of the injection vertebral body.
Source link: https://doi.org/10.1186/s12891-022-05522-3
Objective: The aim of this paper was to evaluate the unilateral and bilateral protocols in treating osteoporotic vertebral compression fractures. Methods: The Cochrane Library, PubMed, Web of Science, Chinese Bio-medicine database, China Journal Full-text Database, and the Wanfang database were reviewed until October 2014, based on the Cochrane systematic reviews' principles and methods. The randomized controlled trials of osteoporotic vertebral compression fractures were included in the randomized controlled trials. Meta-analysis was performed with the RevMan Software 5. 0. Without difference between the two groups, the two groups were the most common surgical issues, including bone cement leakage and adjacent vertebral fracture. Conclusions: In view of the latest findings, there is insufficient evidence to establish any difference between the unilateral and bilateral approaches in osteoporotic vertebral compression fractures treated in both PVP and PKP therapies.
Source link: https://doi.org/10.1016/j.aott.2017.05.006
Abstract Background The primary aim of this research was to identify the risk factors for recollapse of new vertebral compression fractures after percutaneous kyphoplasty surgery for osteoporotic vertebral compression fracture (and to develop a new nomogram model. Methods We retrospectively reviewed single-level OVCFs from January 2017 to June 2020, randomly assigning patients to a curriculum set and a testing set. Univariate and multivariate regression studies established independent risk factors for NVCFs in OVCF patients treated with PKP in the training program. Lastly, internal validation of the built model was carried out in the test environment using the consistency index, receiver operating characteristic curves, calibration curves, and decision curve analysis was performed. After PKP, NVCFs occurred in 21. 7 percent of the training set patients, with multivariate regression indicating that a low Hounsfield unit value, cement leakage, and thoracolumbar junction fracture were all risk factors for NVCF after PKP.
Source link: https://doi.org/10.1186/s12891-022-05409-3
The care of a catastrophic low-degree vertebral compression fracture remains a mystery among functional therapy, bracing, vertebroplasty, kyphoplasty, and even surgical fixation. 93 of 104 patients were evaluated, of whom 27 were only assessed following a retrospective medical record review and 66 with follow-up visit. The pain rating scale and the Oswestry score questionnaire were used to determine clinical parameters. The vertebral kyphosis, vertebral height, lumbar lordosis, and adjacent disc degeneration were among the radiological measurements. At follow-up, the normal Oswestry score was 14. 6. At the last follow-up, the average vertebral height dropped from 12. 9 u00b0 to 6. 5 u00b0 post-op and staggered at 8. 07 u00b0, representing a 28 percent increase in vertebral height. In a follow-up to Adjacent disc degeneration, the incidence of the Adjacent disc degeneration in 17 patients increased by 1 UCLA grade in 17 patients. With no bracing or bed rest, a short stay in hospital, and a return to normal life including professional duties, the instrumented kyphoplasty in acute delivered immediate and lasting pain relief, with no bracing or bed rest, short stay in hospital, and a fast return to normal life including professional activities.
Source link: https://doi.org/10.1155/2019/1386510
Vertebral compression fractures caused by osteoporosis are common in elderly patients and are often encountered by clinical physicians. Case study In this article, we found that four out of 251 patients developed radiculopathy after PKP between January 2012 and January 2019, despite significant improvements in back pain. The complication was caused by retropulsed bone fragments impinging on the corresponding root after PKP, according to this study, and all four patients developed a fractured posterior vertebral rim preoperatively. Although PKP is a safe and effective treatment for painful osteoporotic vertebral compression fractures, a danger of catastrophic neurological injury remains, as a result of chronic neurological damage. Radiculopathy with delayed onset caused by a retropulsed bone fragment after kyphoplasty is rare and difficult to treat, and it should be carefully evaluated preoperatively to prevent this complication.
Source link: https://doi.org/10.1186/s12891-022-05472-w
Abstract Background: Spinal fractures are a common cause of morbidity in cancer patients. A meta-analysis was conducted to determine the effectiveness and safety of BKP for spinal fractures in cancer patients. Methods We looked through various electronic databases up to September 2008, as well as the reference lists of key journals for studies focusing on BKP in patients with spinal fractures secondary to osteolytic metastasis and multiple myeloma. Although there are no studies comparing BKP to other methods, some studies indicate that BKP provided similar pain relief as vertebroplasty and a lower cement leakage rate, although there are no studies comparing BKP to other interventions. Conclusion It appears that BKP is a well-tolerated, relatively safe, and cost-effective treatment that provides early pain relief and improved functional outcomes in patients with painful neoplastic spinal fracture fractures. A further inquiry into the use of BKP for spinal fractures in cancer patients is warranted.
Source link: https://doi.org/10.1186/1472-684X-8-12
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