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[Surgical options for delayed osteoporotic vertebral collapse].
Hai-Ming Yu1, Yi-Zhong Li, Xue-Dong Yao
1Department of Orthopaedics, the Second Affiliated Hospital of Fujian Medical University, Quanzhou 362000, Fujian, China; dryuhaiming@163.com.
Zhongguo Gu Shang = China Journal of Orthopaedics and Traumatology
|December 13, 2017
Summary
Individualized surgical treatment for Kümmell's disease, a type of delayed osteoporotic vertebral collapse, yields good clinical outcomes. Careful surgical reduction is key to preventing complications like cement leakage.
Area of Science:
- Spine surgery
- Osteoporosis management
- Vertebral fractures
Background:
- Delayed osteoporotic vertebral collapse, also known as Kümmell's disease, presents unique surgical challenges.
- Accurate staging and assessment of spinal deformity are crucial for effective treatment.
Purpose of the Study:
- To evaluate surgical options and clinical outcomes for delayed osteoporotic vertebral collapse.
- To correlate surgical techniques with patient recovery and complications.
Main Methods:
- A study involving 19 patients (20 vertebrae) with Kümmell's disease, staged using the Li system.
- Treatment involved percutaneous vertebroplasty (PVP) or percutaneous kyphoplasty (PKP) based on intraoperative postural reduction.
- Clinical outcomes assessed via Visual Analogue Scale (VAS), Oswestry Disability Index (ODI), and Frankel grading for neurological status.
Main Results:
- Both PVP and PKP showed significant improvements in pain (VAS) and function (ODI) post-surgery.
- Vertebral height restoration and kyphotic correction were achieved in both groups without significant differences.
- Cement leakage occurred in 4 patients, with no significant difference between PVP and PKP groups.
Conclusions:
- Individualized surgical treatment based on Li staging and intraoperative reduction degree is effective for Kümmell's disease.
- Inadequate postural reduction during surgery may be a risk factor for cement leakage.
