•  
  •  
 

Rehabilitation Practice and Science

Translated Title

椎體成型術運用於骨質疏鬆症合併脊椎壓迫性骨折之治療

Abstract

Introduction: There are more than three hundred thousand cases of osteoporotic vertebral compression fractures in Taiwan. To hasten the healing process and minimize the related complications of fracture, various treatments have been evolved. In 1987, the technique of percutaneous vertebroplasty was first developed in Europe by a group of radiologists. Before that, conservative treatment, rehabilitation intervention and a surgical approach had been used, with diverse outcomes, as reported in various studies. Although these methods had been developed over several years, they had rarely been compared in terms of outcome and prognosis, in our hospital. Methods: A retrospective study of treatment outcomes was conducted on patients (n=19 and n=103 respectively) with osteoporotic compression fracture(s), who had been admitted to our hospital during the periods January 2000 to December 2000 and January 2003 to December 2003. Various treatments were carried out, including conservative treatment, the conventional surgical approach (open reduction and internal fixation (ORIF)) and vertebroplasty. Results: The most common location of a compression fracture was L1 or T12. Traumatic accidents (e.g. falls) were the most common cause. A greater incidence was noted in females than in males (3:1). Significantly shorter hospitalization was demonstrated after vertebroplasty therapy than after traditional ORIF or conservative treatment. Multiple levels of vertebral fracture occurred more frequently in elderly patients over 70 years of age. Conclusion: The use of vertebroplasty significantly reduced the duration of hospital stay. Vertebroplasty could be a useful treatment, in addition to early rehabilitation intervention, for patients with osteoporotic vertebral compression fractures.

Language

Traditional Chinese

First Page

197

Last Page

204

Download

Share

COinS