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Nine-Grid Area Division Method: A New Ideal Bone Puncture Region for Percutaneous Vertebroplasty in Lumbar Spine
Published on: August 9, 2024
Added value of percutaneous vertebroplasty: effects on respiratory function
Noboru Tanigawa1, Shuji Kariya, Atsushi Komemushi
1Department of Radiology, Kansai Medical University, Hirakata Hospital, 2-3-1 Shinmachi, Hirakata, Osaka 573-1191, Japan. tanigano@hirakata.kmu.ac.jp
AJR. American Journal of Roentgenology
|December 24, 2011
Summary
Percutaneous vertebroplasty significantly improves respiratory function, specifically vital capacity and forced vital capacity, within one month for osteoporosis patients. Multiple procedures and thoracic vertebra treatments yield greater improvements in respiratory function.
Area of Science:
- Orthopedics
- Pulmonology
- Geriatrics
Background:
- Osteoporosis commonly causes vertebral compression fractures, leading to pain and reduced mobility.
- These fractures can negatively impact respiratory function, contributing to restrictive ventilatory impairment.
Purpose of the Study:
- To evaluate the impact of percutaneous vertebroplasty on respiratory function in patients with osteoporotic compression fractures.
- To assess the timeline and extent of respiratory function improvements post-procedure.
Main Methods:
- Ninety-eight patients with thoracic and lumbar compression fractures underwent percutaneous vertebroplasty.
- Respiratory function was assessed by measuring percentage vital capacity (VC%), percentage forced vital capacity (FVC%), and percentage forced expiratory volume in 1 second (%FEV1) before, 1 day after, and 1 month after the procedure.
- Statistical analysis using the Wilcoxon signed rank test compared pre- and post-procedure measurements.
Main Results:
- Significant improvements in VC% and FVC% were observed by 1 month post-percutaneous vertebroplasty (p<0.01).
- No significant immediate changes were noted 1 day after the procedure for any respiratory parameter.
- %FEV1 showed no significant change at either time point.
- Multiple vertebroplasty procedures resulted in greater VC% improvement compared to single procedures (p=0.01).
- Treatment of thoracic vertebrae showed significant VC% improvement compared to other vertebrae.
Conclusions:
- Percutaneous vertebroplasty effectively improves restrictive ventilatory impairment in patients with osteoporotic compression fractures.
- Respiratory function improvements become significant approximately one month after the procedure.
- Multiple vertebroplasty procedures and thoracic vertebra treatment are associated with greater respiratory benefits.
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