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Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
Published on: November 8, 2024
Vertebroplasty for vertebral compression fracture
Sasa Rapan1, Savo Jovanović, Gordan Gulan
1Department of Orthopaedics, University Hospital Osijek, Osijek, Croatia. sasa.rapan@gmail.com
Collegium Antropologicum
|October 29, 2009
Summary
Vertebroplasty effectively reduces severe pain from vertebral fractures. This minimally invasive procedure offers lasting pain relief, with results stable for three months post-surgery.
Area of Science:
- Orthopedics
- Neurosurgery
- Pain Management
Background:
- Vertebral body fractures often cause intense pain, impacting patient quality of life.
- Conventional treatments may be insufficient for managing pain associated with these fractures.
Purpose of the Study:
- To evaluate the safety and efficacy of vertebroplasty for treating vertebral body fractures.
- To assess the reduction in pain intensity following the procedure.
Main Methods:
- The study involved 55 patients undergoing vertebroplasty via a unilateral transpedicular approach under local or general anesthesia.
- Pain intensity was measured using the Visual Analog Scale (VAS) pre-surgery, 24 hours post-surgery, and three months later.
- Procedures were performed on 85 vertebrae (32 metastatic, 23 osteoporotic) in the thoracic and lumbar spine.
Main Results:
- Average VAS score decreased significantly from 8.36 pre-surgery to 2.23 at 24 hours post-surgery (p < 0.005).
- Pain reduction remained stable at three months post-surgery, with no significant difference from the 24-hour measurement (p = 0.191).
- One serious complication (paraparesis) and two superficial infections were reported, both managed successfully.
Conclusions:
- Vertebroplasty is a safe and effective surgical option for compressive vertebral fractures unresponsive to conventional treatment.
- The rapid pain relief achieved 24 hours post-surgery is a reliable predictor of sustained pain reduction at three months.
