Does timing matter in performing kyphoplasty ? Acute versus chronic compression fractures

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dc.contributor.authorErkan S.
dc.contributor.authorÖzalp T.R.
dc.contributor.authorYercan H.S.
dc.contributor.authorOkcu G.
dc.date.accessioned2024-07-22T08:21:36Z
dc.date.available2024-07-22T08:21:36Z
dc.date.issued2009
dc.description.abstractThe objective of this prospective consecutive cohort study was to compare the clinical outcomes, the radiographic outcomes and the complication rates of symptomatic acute (< 10 weeks) and chronic (> 16 weeks) osteoporotic vertebral compression fractures (VCFs) treated with kyphoplasty. Twenty-eight consecutive patients had 52 symptomatic osteoporotic VCFs treated with kyphoplasty ; 5 of these patients were treated in two sessions. The Oswestry Disability Index (ODI) for back pain, a Visual Analog Scale for pain assessment, a patients' satisfaction scale, and medication usage served to evaluate the clinical outcomes. All these variables improved significantly in both groups, and more so in the acute group, but the difference was most often not significant. Vertebral height, local kyphosis angle, global sagittal alignment and dynamic fracture mobility significantly improved in both groups (except global sagittal alignment), and again more so in the acute group (except global sagittal alignment); the difference between groups was significant regarding radiological variables, except global sagittal alignment. Timing of kyphoplasty certainly matters, as the clinical and radiological outcomes were mostly better in acute fractures than in chronic fractures, which somehow responded satisfactorily. Controlled studies (kyphoplasty versus natural history) are needed to establish the real value of the procedure. © 2009, Acta Orthopædica Belgica.
dc.identifier.issn00016462
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/18675
dc.language.isoEnglish
dc.subjectAcute Disease
dc.subjectAged
dc.subjectAged, 80 and over
dc.subjectChronic Disease
dc.subjectFemale
dc.subjectFractures, Compression
dc.subjectHumans
dc.subjectMale
dc.subjectOsteoporosis
dc.subjectPain Measurement
dc.subjectPatient Satisfaction
dc.subjectProspective Studies
dc.subjectSpinal Fractures
dc.subjectTime Factors
dc.subjectVertebroplasty
dc.subjectacute disease
dc.subjectaged
dc.subjectarticle
dc.subjectchronic disease
dc.subjectcomparative study
dc.subjectcompression fracture
dc.subjectfemale
dc.subjecthuman
dc.subjectmale
dc.subjectosteoporosis
dc.subjectpain assessment
dc.subjectpatient satisfaction
dc.subjectpercutaneous vertebroplasty
dc.subjectprospective study
dc.subjectspine fracture
dc.subjecttime
dc.titleDoes timing matter in performing kyphoplasty ? Acute versus chronic compression fractures
dc.typeArticle

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