| Effects of Anesthesia Technique on the Outcomes of the Vertebroplasty and Kyphoplasty: Comparison of General versus Local Anesthesia |
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Hyun Ho Lee , Sung Choon Park , Young Kim , Young Soo Ha |
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Department of Neurosurgery, Myoungji Hospital, Seonam University College of Medicine, Goyang, Korea |
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| Abstract |
Objective
The vertebroplasty and kyphoplasty have become main treatment options for the osteoporotic vertebral fractures. Those procedures have been performed under either local anesthesia (LA) or general anesthesia (GA). The aim of this study was to compare the surgical outcomes between the patients receiving LA and GA.
Methods
A retrospective chart review was conducted for the patients who underwent the vertebroplasty or kyphoplasty for treating the osteoporotic vertebral fractures between 2010 and 2014. The anesthesia technique was chosen mainly depending on the surgeons’ preference, considering patients co-morbidity and desire. Patients-related characteristics and surgical outcomes including the degree of restoring the vertebral height and kyphotic angles were compared between the LA and the GA groups.
Results
A total of 469 patients including 280 undergoing the vertebroplasty and 189 undergoing the kyphoplasty were analyzed. One hundred and one patients received the procedures under GA and 368 under LA. The GA group had lower vertebral height and greater kyphotic angles preoperatively than the LA group. All patients receiving the procedures showed significant improvements in the vertebral height and kyphotic angles regardless of the kinds of the anesthesia. No procedure- or anesthesia-related complications developed. When comparing the outcomes between the two groups, the GA group showed greater degree of restoration of the vertebral body height and kyphotic angles than the LA group in both the vertebroplasty and kyphoplasty.
Conclusion
The present study suggests that GA can provide more reliable outcomes in the vertebroplasty or the kyphoplasty for the treatment of the osteoporotic vertebral fractures. |
| Key Words:
Compression fractureㆍGeneral anesthesiaㆍKyphoplastyㆍLocal anesthesiaㆍ Vertebroplasty |
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