| The Effect of Early Vertebroplasty on Pain Control in Elderly Patients over Age 80 Years
with Painful Osteoporotic Vertebral Compression Fracture |
|
Dae Young Jung , Jae Hyo Park , Keun-Tae Cho |
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Department of Neurosurgery, Dongguk University Ilsan Hospital, Goyang, and Dongguk University, Seoul, Korea |
| 80세 이상 노인 골다공증성 척추 압박골절 환자에서 조기 척추
성형술의 통증완화 효과에 관한 연구 |
|
정대영·박재효·조근태 |
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동국대학교 일산병원 신경외과학교실 |
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| Abstract |
Objective
The objective of the study is to evaluate the effect of early vertebroplasty on pain control in patients over
age 80 years with painful osteoporotic vertebral compression fracture (OVCF).
Methods
We retrospectively analyzed patients over age 80 years with painful OVCF. Under the informed consent,
patients chose the treatment modality, vertebroplasty or conservative treatment. Patients who had pathologic compression
fracture, neurologic deficits or history of major trauma, and who could not communicate were excluded.
The patients were followed up for at least 6 months and the outcome on pain relief was measured by visual analogue
scale (VAS) score on the first visit to hospital, at 2 weeks, 1, 2, 3 and 6 months after the onset of pain.
Results
Thirty patients received vertebroplasty and 42 patients received conservative treatment. Vertebroplasty was
done at 9.73±3.02 days after the onset of pain. Mean VAS score at 2 weeks and 1 month after the onset of pain
was significantly lower in patient received vertebroplasty (p=0.000 and 0.007, respectively) than patients receive conservative
treatment. However, VAS score at 2, 3 and 6 months were not significantly different between two groups.
Conclusion
In elderly patients over age 80 years with painful OVCF, early vertebroplasty within 2 weeks after the
onset of pain resulted in greater and rapid pain relief than did conservative treatment. Although long-term effect of vertebroplasy
on pain control was not superior to conservative treatment, vertebroplasty should be considered early in
elderly patients to reduce the pain rapidly. |
| Key Words:
OsteoporosisㆍVertebral compression fractureㆍVertebroplasty |
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