Balloon Dilatation Kyphoplasty Treatment Of Fresh Osteoporotic Vertebral Compression Fractures Clinical Observation

Objective:To look back and sum up the expansion balloon kyphoplasty treatment of fresh osteoporotic vertebral compression fractures in clinical efficacy, surgical indications, complications and related operating elements. Methods:Retrospective analysis of Second Affiliated Hospital of Dalian Medical University between 2007-2009,the application of balloon kyphoplasty to expand the treatment of fresh osteoporotic thoracolumbar vertebral compression fractures and more than 3 months follow-up of 20 cases of patients with clinical data,including five cases of male,female 15 cases.Age 50-80 years old,an average of 64 years.Course of 1-15 days.An average of 3 days.In this group are single vertebral fracture,2 cases of parts of T12 vertebral body,L1 vertebral body in 5 cases,L2 vertebral body in 4 cases,L3 vertebral body in 3 cases,L4 vertebral body in 4 cases,L5 vertebral body in 2 cases.Surgical approach:the expansion of percutaneous balloon kyphoplasty using bilateral pedicle by means of balloon mitral system. Evaluation of pain intensity using visual analogue assessment (Visual Analogue Scale,VAS) VAS score and surgical disease of vertebral morphological changes before and after comparison of the efficacy and after discussion and analysis of relevant factors.Results:1. The average follow-up period was 13 months(3-24 months).Using the telephone or out-patient follow-up.2. VAS score:7-9 hours preoperatively,with an average 8.33 points,after 0 to 4 points,an average of 2.45 points,before and after surgery were significantly different(P <0.01). 3. Morphological changes in vertebral disease:preoperative vertebral body height front for 0.8-2.4 cm,an average of 1.85 cm,after for 1.4-3.0cm, an average of 2.43 cm,before and after surgery there was a significant difference(P <0.01).Preoperative vertebral body height to the middle of 1.3-2.5cm,an average of 2.03cm,after for the 1.7-2.8cm,an average of 2.54 cm,before and after surgery there was a significant difference(P <0.01). Margin of vertebral body height after the surgery before the 2.5-3.4 cm,an average of 2.95 cm,after for the 2.5-3.5cm,an average of 3.01cm,before and after surgery there was no significant difference(P> 0.05).Conclusion:Balloon Kyphoplasty to expand the treatment of new osteoporotic vertebral compression fractures precise analgesic effect, vertebral height can be restored to varying degrees,easy to operate.