Osteoporotik kırık nedeniyle kifoplasti uygulanan hastaların klinik ve demografik özellikleri
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Tarih
2017
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Bu çalışmanın amacı, osteoporotik kırık nedeniyle kifoplasti uygulanan hastaların demografik ve klinik özelliklerini belirlemektir.Gereç ve Yöntem: Retrospektif olarak planlanan bu çalışmaya 2011-2014 tarihleri arasında osteoporotik kırık nedeniyle kifoplasti uygulanan 55 hasta dahil edildi. Hastalar yaşlarına göre; 65 yaş altı ve üstü olarak iki gruba, kırık bölgelerine göre; T10 ve üstü, T11-L1 arası ve L2 ve altı olarak üç gruba ayrılarak yaş ve cinsiyet dağılımları yapıldı. Ayrıca tüm hastaların istirahat ağrıları visual analog skala (VAS) kullanılarak; günlük yaşam aktiviteleri ise Oswetri Disabilite İndeksi (ODİ) kullanılarak tedavi öncesi ve tedavi sonrası 1. ayda karşılaştırıldı.Bulgular: Elli beş hastanın 17'si erkek (%30,9) ve 38'i kadın (%69,1) olup, ortalama yaşı 69,9±8,7 (50-88 yaş arası) yıldı. Altmış beş yaş üstü hastaların %90'ında kırık T11 ve altındaydı. Tüm hastaların %45,5'inde kırık T11-L1 (torakolomber bileşke) bölgesindeydi. Hastalar istirahat ağrıları ve fonksiyonel durumları yönünden değerlendirildiğinde tedavi öncesi VAS skoru 8,7±1,5 ve ODİ skoru 44,7±7,2 olup, kifoplasti sonrası 1. ayda VAS skoru 2,1±1,2 ve ODİ skorları 15,4±3,5 düzeyindeydi (p<0,05). Yedi (%12,7) hastada kifoplasti materyali disk aralığına kaçış ve 4 (%7,3) hastada beyin omurilik sıvısına sızıntı izlendi.Sonuç: Osteoporotik kırıklar 65 yaş üzeri hastaları etkilemektedir ve sıklıkla torakolomber bileşkede ve daha alt seviyelerde görülmektedir. Kifoplasti ağrı ve fonksiyonel durumu hızlı şekilde düzelten minimal invazif bir tedavi seçeneğidir
Objective: The aim of this study is to determine the demographic and clinical characteristics of patients who underwent kyphoplasty due to osteoporotic fractures.Materials and Methods: This retrospective study included 55 patients who underwent kyphoplasty due to osteoporotic fracture between the years 2011 and 2014. The patients divided into two groups according to their ages (under/over 65 years), and divided into three groups according to fracture regions (T10 and above; between T11-L1; L2 and under). Thus the age and gender distributions of the patients were made. Resting pain scores of all patients were determined by using visual analog scale (VAS) and daily life activities by Oswetry Disability Index (ODI) before and in the first month of treatment.Results: Seventeen of the all patients were male (30.9%) and 38 were female (69.1%), with a mean age of 69.9±8.7 years (between 50-88 ages). 90% of the patients older than 65 years had fracture in T11 and below. In 45.5% of all patients, the fracture was in the T11L1 (thoracolomber junction) region. Resting VAS and ODI scores significantly improved from 8.7±1.5 to 2.1±1.2 and 44.7±7.2 to 15.4±3.5 respectively in the first month after kyphoplasty (p<0.05). Kyphoplasty material extravasated to the disc space in 7 (12.7%) patients and in 4 (7.3%) patients to cerebrospinal fluid.Conclusion: Osteoporotic fractures affect patients over 65 years of age and are frequently occur in the thoracolumbar junction and lower vertebras. Kyphoplasty is a minimally invasive treatment option to relieve pain and to improve functional status
Objective: The aim of this study is to determine the demographic and clinical characteristics of patients who underwent kyphoplasty due to osteoporotic fractures.Materials and Methods: This retrospective study included 55 patients who underwent kyphoplasty due to osteoporotic fracture between the years 2011 and 2014. The patients divided into two groups according to their ages (under/over 65 years), and divided into three groups according to fracture regions (T10 and above; between T11-L1; L2 and under). Thus the age and gender distributions of the patients were made. Resting pain scores of all patients were determined by using visual analog scale (VAS) and daily life activities by Oswetry Disability Index (ODI) before and in the first month of treatment.Results: Seventeen of the all patients were male (30.9%) and 38 were female (69.1%), with a mean age of 69.9±8.7 years (between 50-88 ages). 90% of the patients older than 65 years had fracture in T11 and below. In 45.5% of all patients, the fracture was in the T11L1 (thoracolomber junction) region. Resting VAS and ODI scores significantly improved from 8.7±1.5 to 2.1±1.2 and 44.7±7.2 to 15.4±3.5 respectively in the first month after kyphoplasty (p<0.05). Kyphoplasty material extravasated to the disc space in 7 (12.7%) patients and in 4 (7.3%) patients to cerebrospinal fluid.Conclusion: Osteoporotic fractures affect patients over 65 years of age and are frequently occur in the thoracolumbar junction and lower vertebras. Kyphoplasty is a minimally invasive treatment option to relieve pain and to improve functional status
Açıklama
Anahtar Kelimeler
Genel ve Dahili Tıp
Kaynak
Türk Osteoporoz Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
23
Sayı
3
