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New approaches in the treatment of osteoporotic vertebral factures by mini invasive surgery. Place of the vertebroplasty and kyphoplasty

par Fabeck, Laurent
Référence Osteoporosis update, Nova Science Publishers, Inc., page (229-246)
Publication Publié, 2012

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Résumé :

Osteoporotic vertebral compression fractures are twice as frequent as fractures of the hip and it is estimated that one of every six post-menopausal women will develop such a fracture during her lifetime. Vertebral fractures debilitate the elderly and promote a myriad of complications. Conventional nonsurgical therapies are frequently unsuccessful because elderly patients respond poorly to periods of immobilization as bone mineral maintenance requires that they be mobile and active. The recently introduced percutaneous vertebroplasty or kyphoplasty provides a good pain relief and improved function in patients treated for osteoporotic vertebral fractures and may reduce the occurrence of later consequences of reduced vertebral height such as recurrent fractures, kyphosis progression and chronic back pain. Several recent case series have reported significant pain relief with these techniques in as many as 90% of osteoporotic patients. Pain relief tends to be considerable and quick, and patients are capable of standing up and walking 24 hours after the procedure. However, cement leakages are observed in 10 to 23% of cases but it is mostly asymptomatic. These procedures are also used for the treatment of hemangiomas and vertebral malignant tumors. © 2011 Nova Science Publishers, Inc. All rights reserved.