KMID : 0363120080210030197
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Korean Journal of Pain 2008 Volume.21 No. 3 p.197 ~ p.201
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The Clinical Outcomes of Kyphoplasty for the Treatment of Malignant Vertebral Compression Fractures
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Kim Da-Mi
Park Eun-Jung Han Kyung-Ream Kim Chan Seo Kyung-Su
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Abstract
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Background: Kyphoplasty is a minimally invasive procedure that can stabilize osteoporotic and neoplastic vertebral fractures. We retrospectively evaluated the clinical outcomes of kyphoplasty for the treatment of vertebral compression fractures in cancer patients.
Methods: We reviewed the clinical data of 27 cancer patients who were treated with kyphoplasty (55 vertebral bodies) between May 2003 and Feb 2008. The clinical parameters, using a visual analog 10 point scale (VAS) and the mobility scores, as well as consumption of analgesic, were evaluated preoperatively and at 1 week after kyphoplasty.
Results: A total 55 cases of thoracic and lumbar kyphoplasties were performed without complications. The mean age of the patients was 66 years. All the patients experienced a significant improvement in their subjective pain and mobility immediately after the procedures. The pain scores (VAS), mobility scores and other functional evaluations using the Oswestry disability score and the SF-36 showed significant differences between the pre- and postoperational conditions.
Conclusions: Kyphoplasty is an effective, minimally invasive procedure that can relieve the pain of patients with vertebral compression fractures and these fractures are the result of metastasis.
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KEYWORD
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kyphoplasty, metastasis, vertebral compression fracture
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