| The Maintenance of the Effect of Balloon Kyphoplasty in the Acute Compression Fracture |
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Jung-Hoon Lee, M.D., Young-Baeg Kim, M.D., Jeong-Taik Kwon, M.D., Jong-Sik Suk, M.D. |
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Department of Neurosurgery, College of Medicine, Chung-Ang University, Seoul, Korea |
| The Maintenance of the Effect of Balloon Kyphoplasty in the Acute Compression Fracture |
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Jung-Hoon Lee, M.D., Young-Baeg Kim, M.D., Jeong-Taik Kwon, M.D., Jong-Sik Suk, M.D. |
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Department of Neurosurgery, College of Medicine, Chung-Ang University, Seoul, Korea |
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| Abstract |
Objective: Authors have evaluated the maintenance of the effect of balloon kyphoplasty in the acute traumatic compre- ssion fractures and report clinical outcomes of 83 patients(with 110 fractured levels). They analyzed height restoration, kyphotic angle, and pain relief after the procedure.
Methods: Between January 2004 and June 2006, 83 patients who underwent balloon kyphoplasty for the acute com- pression fracture of lumbar and thoracic spine. All patients were diagnosed as the acute compression fracture with spine simple X-ray, magenetic resonance image, and bone scanning. The operation was done under local anesthesia, and patients ambulated at post operative first day. Almost all patients discharged within a week, and trained to take a brace when ambulated. We followed up pre- and postoperative compression ratio, kyphotic angle, and VAS score change at 1 week, 1 months, 3 months,, 6 months, 1 year, and 2 years after the procedure.
Results: Follow-up period was ranged from 2 months to 2 years. In our study, there were noticeable changes in VAS score, compression ratio, and kyphotic angle during the follow up period. Postoperative immediate results revealed dramatic improvements in pain relief and deformity correction. VAS score showed constant improvement, but subtle negative changes were observed until 1 year in compression ratio, and until 6 months in kyphotic angle.
Conclusion: Based on results of the study, balloon kyphoplasty is the undoubtedly effective treatment of acute com- pression fracture, which can not only improve the patient's pain but also provide anatomical modification of the compressed vertebral body. But during the follow up period, slight devastation occurs variably. These results suggest that even the augmented compressed vertebral body needs constant care after the procedure, and more intensified studies are needed for better outcome. |
| Keywords:
Balloon kyphoplastyㆍCompression fractureㆍVAS |
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