[CLINICAL EFFECTIVENESS OF PUNCTURE METHODS FOR THE TREATMENT OF VERTEBRAL BODY FRACTURES AND HEMANGIOMAS]

Klin Med (Mosk). 2015;93(4):61-5.
[Article in Russian]

Abstract

A new stenoplastic technology including implantation of expanding titanium cage is realized to improve the quality of life and relieve pain syndrome in the patients with injured vertebral bodies. The aim, of the study was to compare clinical effectiveness of puncture vertebroplasty and stenoplasty.

Materials and methods: Vertebroplasty and stenoplasty were used in 24 and 18 cases respectively to treat 17 patients with A1 compression fractures of vertebral bodies and 25 ones with symptomatic hemangiomas in thoracic and lumbar spine. Visual-analog scale was used to estimate severity of pain syndrome, ODI scale to assess the quality of life, and Macnab scale to evaluate satisfaction of the patients with the results of surgery; in addition, duration of surgery and frequency of complications were determined.

Results: Results of hemangioma treatment by both procedures were similar when estimated by VAS and ODI (p < 0.05). Stentoplasty yielded better long-term results of the treatment of A1 compression fractures based on VAS and ODI (p = 0.03) and should be preferred over vertebroplasty Also, this technique can be used to treat symptomatic hemangiomas.

Publication types

  • English Abstract

MeSH terms

  • Adult
  • Female
  • Fractures, Compression / surgery*
  • Hemangioma / surgery*
  • Humans
  • Male
  • Middle Aged
  • Orthopedic Procedures / methods*
  • Punctures / methods
  • Spinal Fractures / surgery*
  • Spinal Neoplasms / surgery*
  • Treatment Outcome
  • Vertebroplasty / methods*