41603

Vertebroplasty in the treatment of spine fractures

Thesis

Last updated: 06 Feb 2023

Subjects

-

Tags

General Surgery

Advisors

El-Basyouni, Fahim A. , El-Shehri, Aly H. , Ayyoub, Basem

Authors

Muhammad, Muhammad Eihab Farouq

Accessioned

2017-07-12 06:40:31

Available

2017-07-12 06:40:31

type

M.Sc. Thesis

Abstract

Vertebral fractures are highly painful, can hinder mobility, affect quality of life and lead to an increase in mortality rate amongst elderly populations. Consequences of untreated vertebral fracture are; reduced height, kyphosis, and chronic back pain. Vertebroplasty technique was carried out on 15 patients with a total of twenty one osteoporotic fractures. Patients ages varied from 55-75 years with the series being predominately female (2:1). Seven patients were treated in the sub acute period (between two to eight weeks), six patients (between two months and one year) following trauma. Two patients were done after one year following trauma. The insertion of the trocar needle was done via the intrapedicular route which was deemed the safest approach to avoid cement extravasation. We used 10-13 gauge trocar needles injecting 4-8ml of Simplex P cement into thoracic and lumbar fractures, filling the vertebral body. This was done under C-arm imaging in AP and Lateral views. The results showed an 87% improvement in pain levels immediately postoperatively and assessed again after two weeks. These results coincided with other studies done under similar conditions. No significant complications with this procedure intraoperatively were witnessed. With proper technique and patient selection, complications can be minimized. Patients who have had recent trauma, showed better results regarding pain relief and fracture stabilization than patients who suffered from older fractures (more than one year).

Issued

1 Jan 2012

DOI

http://dx.doi.org/10.21473/iknito-space/35540

Details

Type

Thesis

Created At

28 Jan 2023