Effect of Conservative Treatment for Refracture in Cemented Vertebrae After Percutaneous Vertebroplasty: A Long Term Follow-up
Clinical Medicine Research
Volume 5, Issue 3, May 2016, Pages: 20-23
Received: Mar. 15, 2016;
Accepted: Apr. 5, 2016;
Published: Apr. 26, 2016
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Jing Wang, Department of Orthopedics, the First Affiliated Hospital of Jinan University, Guangzhou, China
Min Chen, Department of Orthopedics, the First Affiliated Hospital of Jinan University, Guangzhou, China
Jiang Du, Department of Orthopedics, the First Affiliated Hospital of Jinan University, Guangzhou, China
By a long term follow-up, we evaluated the effects of conservative treatment for refracture of cemented vertebrae after percutaneous vertebroplasty (PVP). 12 patients of 324 patients who underwent PVP from January 2012 to August 2014, with back pain, were confirmed refracture in cemented vertebrae. 7 patients got conservative treatment: the usage of analgesics, osteoporosis medication, brace and physical therapy. Visual analogue seale (VAS) and Oswestry disability index (ODI) were evaluated at 7 days, 1, 3 and 12 months after treatment. Patients were followed up for 21.3 ± 11.2 months. Compared with that before treatment, VAS and ODI scores were significantly decreased after treatment (P < 0.05). VAS and ODI scores were also decreased significantly among 7 days, 1 and 3 months after treatment (P < 0.05). No remarkable difference was found between 3 and 12 month (P > 0.05). Further, there were no complications happened, such as leg phlebothrombosis, decubitus and hypostatic pneumonia. Thus, the results of our conservative treatment were optimal. Accordingly, the ratio of refracture in cemented vertebrae after PVP is low, but it is critical for back pain after PVP which should be pay enough attention for clinicians. Conservative treatment can relieve pain and improve spine function, without obvious complications.
Effect of Conservative Treatment for Refracture in Cemented Vertebrae After Percutaneous Vertebroplasty: A Long Term Follow-up, Clinical Medicine Research.
Vol. 5, No. 3,
2016, pp. 20-23.
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