Kyphoplasty Increases Vertebral Height, Decreases Both Pain Score and Opiate Requirements While Improving Functional Status

Vertebral compression fractures can result from advanced osteoporosis, or less commonly from metastatic or traumatic insults to the vertebral column, and result in disabling pain and decreased functional capacity. Various vertebral augmentation options including kyphoplasty aim at preventing the seq...

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Bibliographic Details
Published in:Pain practice 2014-03, Vol.14 (3), p.E91-E97
Main Authors: Tolba, Reda, Bolash, Robert B., Shroll, Joshua, Costandi, Shrif, Dalton, Jarrod E., Sanghvi, Chirag, Mekhail, Nagy
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Analgesics, Opioid - therapeutic use
Female
Fractures, Compression - complications
Fractures, Compression - diagnostic imaging
Fractures, Compression - surgery
Humans
Kyphoplasty
kyphosis
Male
Middle Aged
osteoporosis
Pain - diagnostic imaging
Pain - drug therapy
Pain - etiology
Pain Measurement
percutaneous vertebral augmentation
Radiography
Retrospective Studies
Spinal Fractures - complications
Spinal Fractures - diagnostic imaging
Spinal Fractures - surgery
Spine - diagnostic imaging
Spine - surgery
Treatment Outcome
vertebral compression fracture
vertebral height restoration
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Summary:Vertebral compression fractures can result from advanced osteoporosis, or less commonly from metastatic or traumatic insults to the vertebral column, and result in disabling pain and decreased functional capacity. Various vertebral augmentation options including kyphoplasty aim at preventing the sequelae of pain and immobility that can develop as the result of the vertebral fractures. The mechanism for pain relief following kyphoplasty is not entirely understood, and the restoration of a portion of the lost vertebral height is a subject of debate. We retrospectively reviewed radiographic imaging, pain relief, analgesic intake and functional outcomes in 67 consecutive patients who underwent single‐ or multilevel kyphoplasty with the primary goal of quantifying the restoration of lost vertebral height. We observed a mean of 45% of the lost vertebral height restored postprocedurally. Secondarily, kyphoplasty was associated with significant decreases in pain scores, daily morphine consumption and improvement in patient‐reported functional measures.
ISSN:1530-7085
1533-2500
DOI:10.1111/papr.12131