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퇴행성 척추관 협착증과 동반된 골다공증성 압박 골절의 병합 치료
Combined Treatment of Degenerative Spinal Stenosis and Osteoporotic Compression Fracture

대한골다공증학회지 2014년 12권 1호 p.15 ~ p.21

백승욱(Baek Seung-Wook) - 부산고려병원 정형외과
김철(Kim Cheol) - 부산고려병원 정형외과
채종우(Chae Jong-Woo) - 부산고려병원 정형외과

Abstract

Objectives: To analyze the treatment results of combined treatment with percutaneous vertebroplasty and adhesiolysis in the patients who happened the osteoporotic compression fractures during the conservative treatment of pre-existing degenerative spinal stenosis.

Materials and Methods: A retrospective review was carried out on 38 patients who happened the osteoporotic compression fractures during the conservative treatment of pre-existing degenerative spinal stenosis. We performed percutaneous vertebroplasty for osteoporotic compression fractures and adhesiolysis for degenerative spinal stenosis after 4 weeks after vertebroplasty. Radiologic results were evaluated by progression of compression rate, fractures in adjacent segment and change of the BMD. Clinical results were evaluated with Denis pain scale for osteoporotic compression fractures and Katz satisfaction scale for degenerative spinal stenosis.

Results: The compression rate was 30.2% preoperatively, 21.4% postoperatively, and 24.6% at 12 months postoperatively. There was no fracture in adjacent segment. Clinically, the Denis score were P3 in 13 and P4 in 25, preoperatively, P1 in 11 and P2 in 26, P3 in 1, postoperatively (P=0.03). In regard to degenerative diseases, the Kats scale were 38 to 5, 86.8% in low back pain (P=0.017) and 38 to 4, 89.4% in claudication (P=0.006). The overall Katz satisfaction scale was 81.5% at 12 months postoperatively. The BMD changes in patients who treated neuroplasty was not significant (P=0.175).

Conclusions: The combined treatment with percutaneous vertebroplasty and adhesiolysis may be an effective treatment strategy for the osteoporotic compression fracture and spinal stenosis without surgical intervention in old age patients.

키워드

Degenerative spinal stenosis, Osteoporotic Compression Fractures, Percutaneous adhesiolysis, Vertebroplasty

KMID : 1007020140120010015

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등재저널 정보

주제코드

주제명(Target field)

연구대상(Population)

연구참여(Sample size)

대상성별(Gender)

질병특성(Condition Category)

연구환경(Setting)

연구설계(Study Design)

연구기간(Period)

중재방법(Intervention Type)

중재명칭(Intervention Name)

키워드(Keyword)

유효성결과(Recomendation)

연구비지원(Fund Source)

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출판년도(Year)

참여저자수(Authors)

대표저자

DOI

KCD코드

ICD 03

건강보험코드

퇴행성 척추관 협착증과 동반된 골다공증성 압박 골절의 병합 치료 Combined Treatment of Degenerative Spinal Stenosis and Osteoporotic Compression Fracture

Abstract

키워드

퇴행성 척추관 협착증과 동반된 골다공증성 압박 골절의 병합 치료
Combined Treatment of Degenerative Spinal Stenosis and Osteoporotic Compression Fracture