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Percutaneous vertebroplasty in pathological compression and traumatic vertebral fractures ( a single center study)
EANS Academy. Mohmand J. 09/26/19; 275927; EP02108
Jawad Mohmand
Jawad Mohmand

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Abstract
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Vertebroplasty is a spinal procedure in which bone cement is injected under radiological imaging into the fractured vertebra for the purpose of relieving back pain caused by vertebral fractures .
• The aim of the study is to evaluate the effectiveness of vertebroplasty in pain reduction from vertebral fractures.
• This study was conducted in CMH Rawalpindi from January 2017 to November 2018, 57 patients with vertebral fractures who underwent Vertebroplasty were prospectively followed. Written consent from the patients and approval from the hospital ethical committee was taken. All the adult patients willing and fit for surgery were included. Patients who require instrumental fixation or multiple level involved were excluded. Pain before the procedure and after 3 days, one week, three weeks and six weeks was evaluated using Pain severity scale with Zero (0) being no pain and Ten (10) being worst pain and Visual Analog Score questionnaires. Imaging was performed by X-Rays and MRI. Statistical analysis was performed using SPSS software version 20 .
• The study included 32 males and 25 females, aged 34-82 years (mean 69.7 years). 17 Patients had traumatic fractures, 40 patients had pathological compression fractures .
• The procedure was performed smoothly in all cases. There was no cement leakage or intraoperative complication. Results were compared with Mean Pain Scores of 8.31 +/- 1.2 before vertebroplasty and three days after vertebroplasty with mean pain score of 1.34 +/-0.94 and mean pain score of 1.22 +/-1.13 after one week of vertebroplasty. There was a decrease of 6.9 VAS points in pain on the third post-op day. Pain relief remained statistically significant (p< 0.001) during the follow-up period.
• Thoracic and Lumbar vertebral fractures both traumatic and pathological can be successfully treated with Percutaneous Vertebroplasty and a significant reduction in pain relief can be achieved .
Vertebroplasty is a spinal procedure in which bone cement is injected under radiological imaging into the fractured vertebra for the purpose of relieving back pain caused by vertebral fractures .
• The aim of the study is to evaluate the effectiveness of vertebroplasty in pain reduction from vertebral fractures.
• This study was conducted in CMH Rawalpindi from January 2017 to November 2018, 57 patients with vertebral fractures who underwent Vertebroplasty were prospectively followed. Written consent from the patients and approval from the hospital ethical committee was taken. All the adult patients willing and fit for surgery were included. Patients who require instrumental fixation or multiple level involved were excluded. Pain before the procedure and after 3 days, one week, three weeks and six weeks was evaluated using Pain severity scale with Zero (0) being no pain and Ten (10) being worst pain and Visual Analog Score questionnaires. Imaging was performed by X-Rays and MRI. Statistical analysis was performed using SPSS software version 20 .
• The study included 32 males and 25 females, aged 34-82 years (mean 69.7 years). 17 Patients had traumatic fractures, 40 patients had pathological compression fractures .
• The procedure was performed smoothly in all cases. There was no cement leakage or intraoperative complication. Results were compared with Mean Pain Scores of 8.31 +/- 1.2 before vertebroplasty and three days after vertebroplasty with mean pain score of 1.34 +/-0.94 and mean pain score of 1.22 +/-1.13 after one week of vertebroplasty. There was a decrease of 6.9 VAS points in pain on the third post-op day. Pain relief remained statistically significant (p< 0.001) during the follow-up period.
• Thoracic and Lumbar vertebral fractures both traumatic and pathological can be successfully treated with Percutaneous Vertebroplasty and a significant reduction in pain relief can be achieved .
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