Percutaneous vertebroplasty in vertebral compression fractures of benign or malignant origin: a prospective study of 1188 patients with follow-up of 12 months

Vertebral body fractures are a source of high costs for the health care system and will continue to be one as the population ages. Cost-effective treatment is thus all the more important. In this study, we evaluated patients' quality of life during the first 12 months after they had undergone p...

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Bibliographic Details
Published in:Deutsches Ärzteblatt international 2011-05, Vol.108 (19), p.331-338
Main Authors: Mpotsaris, Anastasios, Abdolvahabi, Razmin, Hoffleith, Bastian, Nickel, Janpeter, Harati, Ali, Loehr, Christian, Gerdes, Chun Hee, Hennigs, Svenja, Weber, Werner
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Comorbidity
Female
Follow-Up Studies
Fractures, Compression - epidemiology
Fractures, Compression - therapy
Germany - epidemiology
Humans
Male
Middle Aged
Neoplasms - epidemiology
Neoplasms - therapy
Original
Pain, Postoperative - diagnosis
Pain, Postoperative - epidemiology
Prevalence
Prospective Studies
Quality of Life
Risk Assessment
Spinal Fractures - epidemiology
Spinal Fractures - therapy
Treatment Outcome
Vertebroplasty - statistics & numerical data
Young Adult
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Summary:Vertebral body fractures are a source of high costs for the health care system and will continue to be one as the population ages. Cost-effective treatment is thus all the more important. In this study, we evaluated patients' quality of life during the first 12 months after they had undergone percutaneous vertebroplasty for vertebral body fractures which were refractory to conservative treatment. Our analysis took the causes of the fractures into account. Pain, mobility, and need for analgesics were assessed prospectively on verbal rating scales one day before and one day after vertebroplasty, as well as over a follow-up period of up to 12 months. The same examiner interviewed each patient at all time points to obtain this information. 1188 patients underwent vertebroplasty for 1980 vertebral body fractures; the most common etiology was osteoporosis (75%). There was statistically relevant improvement in all three of the variables studied from the day before the procedure to the last follow-up, regardless of the cause of fracture (p
ISSN:1866-0452
DOI:10.3238/arztebl.2011.0331