1 However, the literature regarding the use of vertebroplasty for traumatic, nonosteoporotic, and/or non-neoplastic, compression fractures remains limited, with studies restricted to a small number of patients. Traditionally, vertebroplasty is used for the treatment of painful primary and secondary osteoporotic compression fractures refractory to medical therapy, pain-inducing fractures caused by invading neoplasms, and in cases of painful osteonecrosis. Vertebroplasty has been widely and successfully used in the treatment of osteoporotic and neoplastic vertebral compression fractures. Vertebroplasty in these patients should be used after failure of conservative treatments and may be used in place of more invasive spinal reconstruction techniques. The complication rate was low and characterized by asymptomatic extravasation of cement.ĬONCLUSIONS: From our study, we have shown that vertebroplasty can be successfully and safely used in patients with traumatic nonosteoporotic compression fractures. Additionally, we found marked decreases in medication use and improvements in mobility. We found significant improvements in the VAS scores, both at rest and with activity, and in the RDQ scores, starting at the 2-hour follow-up. Mean age and t-score were 60 years and −0.35, respectively. RESULTS: Fifteen patients (53% women) were included. Statistical analysis included a 2-tailed t test comparing postprocedure outcomes with baseline values. Roland-Morris Disability Questionnaire (RDQ) scores were also collected. Follow-up evaluations included pain at rest and with activity (assessed with the visual analog scale ), medication use, and mobility. MATERIALS AND METHODS: We performed a retrospective review of 819 patients (982 procedures) who underwent percutaneous vertebroplasty, to identify patients who had normal bone mineral densitometry scores or had no previous diagnosis of osteoporosis, multiple myeloma, or history of long-term steroid use. ![]() The purpose of this study was to evaluate the safety and efficacy of percutaneous vertebroplasty for patients with traumatic nonosteoporotic compression fractures. But his medical team has likely performed a series of scans and assessments to ascertain the full extent of any damage, and to decide on the most appropriate course of treatment.BACKGROUND AND PURPOSE: Vertebroplasty is commonly used for osteoporotic and neoplastic compression fractures, yet little evidence exists for its use in traumatic nonosteoporotic compression fractures. We’re not familiar with the details of Andrews’ case. This process often involves rehabilitation with physiotherapists and other health-care providers. If there’s no associated spinal cord injury or damage to the nerves in the area, a full recovery is likely, but this can take weeks or months. Patients with associated rib fractures may sometimes even have pain with breathing (particularly when taking big breaths). In general, a patient with a fractured T7 would experience pain when moving, and have difficulty standing for long periods. Victorian emergency departments during COVID-19: overall presentations down but assault, DIY injuries up In this group, males are significantly more likely to be injured. This is often a car accident, or a high-energy fall such as falling down the stairs. In younger patients, spinal fractures are much more likely to be the result of an accident. Vertebral fractures and the road to recoveryįractures (breaks) of the bones in our spine become more likely as we age, and are more common in women over 60, whose bones may be weaker as a result of osteoporosis. As this bone also has a pair of ribs attached, it is not a surprise his reported injuries also include broken ribs. The fracture seen in Andrews’ case appears to involve the seventh thoracic vertebra (T7), which is roughly halfway down the back. ![]() These attachments mean this region of the spine is much stiffer and less flexible than the other areas. The area Andrews has injured, the thoracic spine, forms a semi-rigid cage due to its attachment to the ribs. There are seven cervical vertebrae (C1-C7), 12 thoracic vertebrae (T1-T12), and five lumbar vertebrae (L1-L5). Your vertebral column (or spine) is composed of five main areas: the cervical spine (neck), the thoracic spine (where your ribs attach), the lumbar spine, and finally the sacrum and coccyx. Many of these are related to the bones that make up the spine.Įach of the individual bones in this region are called “vertebra”. ShutterstockĪbout four million Australians, or one in six, suffer from back problems. The spine is often describe as consisting of five main areas.
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