David Vimal Kumar, J (2014) Analysis of short term functional outcome of vertebroplasty in osteoporotic vertebral wedge compression fractures: A prospective study. Masters thesis, Kilpauk Medical College, Chennai.
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Abstract
AIM: To evaluate and analysis the short term functional outcome of Vertebroplasty in the management of Osteoporotic wedge compression fracture. MATERIALS AND METHODS: A total of 35 patients were taken up in the study. The age of the patient was in the range of 52 -80 years. There were 13 males and 23 females in this study. On presentation in outpatient department true Anterior – posterior and true Lateral views X-rays of injured spine were taken &vertebral wedge compression fractures diagnosed. Baseline demographic and injury characteristics were noted. Patient’s vertebral wedge compression fractures were classified according to the Denis Classification managed conservatively for 4 weeks with analgesics and brace. The patients those who were presented with persistent intolerable low back pain, with or without radiating pain, all without any neurological deficit,inability to do daily activity of living and these patients were admitted through outpatient department. Neurological chart which included assessment of motor status, sensory status bowel & bladder status were noted. This was done for the purpose of comparison of post operative neurological status .In all patients, Pre operative Visual analog score for back ache, Oswestry disability score & Oswestry disability index were noted for the purpose of comparison of post operative functional outcome OBSERVATION & RESULTS: In our study,35 Patients with osteoporotic vertebral wedge compression fracture were considered for the analysis.Average follow up was done for 8 months with maximum follow up was for 18 months and minimum follow up was for 3 months. There were 27 cases with more than 6 months of follow up and 11 cases with more than 12 months follow up.Statistics comparing preop VAS score versus VAS score, , pre op ODS vs post op ODS at immediate, one month, three months, six months were done from which we interpreted that p value < 0.0001 in all postoperative period, so it was a significant comparison. Statistically, we got significant pain relief and functional outcome in immediate post operative period which was maintained at the end of 6 months also. CONCLUSION: we conclude that the Vertebroplasty are promising innovations with the benefit of quick improvement in mobility, markedly decreases pain-related doctor visits, stature, and decreases use of NSAIDS post operatively in the management of osteoporotic wedge compression fracture.
| Item Type: | Thesis (Masters) |
|---|---|
| Uncontrolled Keywords: | Vertebroplasty ; Osteoporosis ; Compression ; Pain,Denis. |
| Subjects: | MEDICAL > Orthopaedics |
| Depositing User: | Subramani R |
| Date Deposited: | 16 Sep 2017 18:46 |
| Last Modified: | 16 Sep 2017 18:46 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/2990 |
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