Functional and radiograghic imaging outcome after kyphoplasty in osteoporotic vertebral compression fracture.

Abstract

Objectives : To determine about Pain, Clinical and Radiographic outcome in 15 patient who suffered with osteoporotic vertebral compression fracture after treated with kyphoplasty.Summary of background data : Among the group of patients with osteoporotic vertebral compression fracture, pain is the most problem they are always suffered with.The traditional treatment for relief pain included pain reducing medication, bed rest and orthosis as brace and supports . Although, there are many the number of pain reducing medication preparation increasingly nowadays, pain and poor in quality of life still be the big problems for patients to overcome.

Methods : The aim of This study is to determine about Pain, Clinical and Radiographic outcome after treated with kyphoplasty in all 15 candidates enrolled (80% female,20% male, 17 levels of VCF). The study was performed and done kyphoplasty at Chaophyaabhaibhubejur Hospital. The result of this study evaluated by means and nonparametric tests analysis.

Results : There are significant improvement in clinical, functional and Radiographic imaging studies outcome (p < 0.05) after done kyphoplasty.
- VAS(visual analog scale) mean decreased from 9.18 to 3.65 (1st day), 2.12 (7thday)
- ODI scoring (Oswestry disability index scoring) mean increase from 92% to 34%
- RR(respiratory rate) mean decreased from 23.88 to 15.18 per minute
- Mean of anterior vertebral body height increased from 11.00 to 18.65 mm.
- Mean of posterior vertebral body height increased from 25.65 to 26.53 mm.
* Mean of kyphotic angle decreased from 20.29 to 8.29 degree

Conclusion : Kyphoplasty provides immediately pain relief, and significantly improve in daily activity function, respiratory function and radiographic outcome in osteoporotic vertebral compression fracture patients.