Role of the supine lateral radiograph of the spine in vertebroplasty for osteoporotic vertebral compression fracture: a prospective study.

BMC Musculoskeletal Disorders
Meng-Huang WuRobert Wen-Wei Hsu

Abstract

Severely collapsed vertebral compression fracture (VCF) is usually considered as a contraindication for vertebroplasty because of critically decreased vertebral height (less than one-third the original height). However, osteoporotic VCF can possess dynamic mobility with intravertebral cleft (IVC), which can be demonstrated on supine lateral radiographs (SuLR) and standing lateral radiographs (StLR). The purposes of this study were to: (1) evaluate the efficacy of SuLR to detect IVCs and assess the intravertebral mobility in VCFs, and (2) evaluate the short-term results of vertebroplasty in severely collapsed VCFs with IVCs. We enrolled 37 patients with 40 symptomatic osteoporotic VCFs for vertebroplasty; 11 had severely collapsed VCFs with concurrent IVCs detected on the SuLR, the others had not-severely collapsed VCFs. A preoperative StLR, SuLR, magnetic resonance imaging (MRI), and postoperative StLR were taken from all patients. Radiographs were digitized to calculate vertebral body morphometrics including vertebral height ratio and Cobb's kyphotic angle. The intensity of the patient's pain was assessed by the visual analogue scale (VAS) on the day before operation and 1 day, 1 month, and 4 months after operation. The patien...Continue Reading

References

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Citations

Nov 23, 2012·BMC Musculoskeletal Disorders·Steven M McPhailTerry P Haines
Aug 2, 2013·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·R NiimiA Sudo
May 24, 2014·The Journal of Orthopaedic and Sports Physical Therapy·Steven M McPhailTerry P Haines
Sep 7, 2013·Clinics in Orthopedic Surgery·Jae Hwan ChoChoon-Ki Lee

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Methods Mentioned

BETA
percutaneous vertebroplasty

Software Mentioned

SuLR
SPSS
StLR
Statistical Package for the Social Sciences software ( SPSS

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