Vertebral Augmentation for Painful Type 4 Osteoporotic Compression Fractures: A Comparative Study.

IF 1.1 Q3 ORTHOPEDICS Journal of Osteoporosis Pub Date : 2023-01-01 DOI:10.1155/2023/1562892

Mohamed Abdelrahman Abdalla, Ricardo Rodrigues, Christian Ulbricht

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引用次数: 1

Abstract

Background: Type 4 osteoporotic fracture (OF4), according to the classification system of the Spine Section of the German Society for Orthopaedics and Trauma (DGOU), is unstable and requires fixation as per the guidelines of the same group. We evaluated the use of stand-alone vertebral body augmentation (VBA) in pain control of OF4.

Methods: This is a single-centre, in two hospitals, comparative study to evaluate the effectiveness of percutaneous vertebroplasty (PVP) and kyphoplasty (KP) in pain control of OF4. OF4 patients treated with VBA were compared to a conservatively treated control group. The two groups of OF4 were then compared to similar cohort of OF2 and OF3 patients who were treated by either VBA or expectantly.

Results: A total of 78 cases were studied. VBA of OF4 showed a statistically significant better pain control than conservative treatment. The response of this group of fractures to VBA was similar to that of OF2 and 3.

Conclusion: VBA can provide satisfactory pain control for OF4 patients.

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椎体增强术治疗疼痛性4型骨质疏松压缩性骨折的比较研究。

背景:根据德国骨科与创伤学会(DGOU)脊柱分会的分类系统，4型骨质疏松性骨折(OF4)是不稳定的，需要按照同组指南进行固定。我们评估了独立椎体增强术(VBA)在OF4疼痛控制中的应用。方法:这是一项在两家医院进行的单中心比较研究，以评估经皮椎体成形术(PVP)和后凸成形术(KP)在控制OF4疼痛方面的有效性。用VBA治疗的OF4患者与保守治疗的对照组进行比较。然后将两组OF4患者与接受VBA或预期治疗的OF2和OF3患者进行比较。结果:共研究78例。与保守治疗相比，OF4的VBA治疗对疼痛的控制有统计学意义。该组骨折对VBA的反应与OF2和of3相似。结论:VBA能较好地控制OF4患者的疼痛。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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