Evaluation of results of percutaneous vertebroplasty at a tertiary centre among north Indian population

A. Rawat, Chandrasekhar Verma, M. Khanna, K. Yadav
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Abstract

Objective: To evaluate the results of percutaneous vertebroplasty at a tertiary centre among north Indian population. Methods: The study was a prospective observational study conducted in the Department of Orthopaedic Surgery, Prasad Institute of Medical Sciences, Lucknow.  Patients with painful vertebral compressions involving Dorsal and Lumbar vertebrae due to osteoporosis, metastatic secondary of spine, multiple myeloma, benign conditions like hemangioma, specific traumatic spinal injuries who were admitted and treated by percutaneous vertebroplasty in the Department. The pain was assessed by Visual Analogue Score. Results: A total of 32 (12 male and 20 females) patients were included in the study. Osteoporotic cause was in more than half of patients (65.6%). Females were more affected (66.7%) than males (33.3.3%). Post traumatic cause was in 34.4% patients. Females were more affected (54.5%) than males (45.5%). However, there was no significant (p>0.05) difference in causes between male and females. Pre-op VAS was 5.94±0.92 which decreased to 0.87±1.35 at 6 months. The decrease in VAS from pre-op to 6 month was statistically significant (p=0.0001). Conclusion: Percutaneous Vertebroplasty is a simple, effective, reliable, easy to perform and minimally invasive procedure in patients with vertebral compressions, who have excessive pain and/or surgery has great risks. Key words: Vertebral compressions, percutaneous vertebroplasty, Visual Analogue Score
北印度人口三级中心经皮椎体成形术的结果评价
目的:评价经皮椎体成形术在印度北部人口三级中心的效果。方法:本研究是一项前瞻性观察研究,在勒克瑙普拉萨德医学科学研究所骨科进行。因骨质疏松、脊柱转移性继发、多发性骨髓瘤、血管瘤等良性疾病、特殊创伤性脊柱损伤而累及背腰椎椎体压迫疼痛的患者,经皮椎体成形术治疗。采用视觉模拟评分法评定疼痛程度。结果:共纳入32例患者,其中男性12例,女性20例。半数以上(65.6%)为骨质疏松所致。女性(66.7%)高于男性(33.3.3%)。创伤后原因占34.4%。女性(54.5%)比男性(45.5%)更受影响。但男女发病原因差异无统计学意义(p < 0.05)。术前VAS为5.94±0.92,6个月时降至0.87±1.35。术前至6个月VAS下降有统计学意义(p=0.0001)。结论:经皮椎体成形术是一种简单、有效、可靠、易操作、微创的治疗椎体压迫的方法,对于疼痛过度和/或手术风险大的患者。关键词:椎体压迫,经皮椎体成形术,视觉模拟评分
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