2023, Number 4
Vertebroplasty: element for correction of sagital balance in fragility fractures
Full text
10.35366/113721
Language: Spanish
References: 18
Page: 211-220
PDF size: 268.43 Kb.
ABSTRACT
Introduction: vertebral compression fractures are common in elderly populations. The main cause is osteoporosis and can cause back pain, spinal deformities, mobility problems, reduced lung function, clinical depression, neural compromise and even paralysis. For many years, spine surgeons focused on local treatment of spinal pathology without considering overall spinal alignment. The objective of the study is to identify vertebral fragility fractures, make a comparison between metabolic and tumor causes, as well as to verify if there is improvement in sagittal balance after treatment with percutaneous vertebroplasty. Material and methods: a retrospective cohort study was carried out consisting of 146 patients with vertebral fractures due to traumatic, degenerative, metabolic, oncological and infectious causes treated by vertebroplasty alone or accompanied by another procedure such as biopsy or instrumentation, during the period included. between April 15, 2015 to June 13, 2023 at the "Lic. Ignacio García Téllez" National Medical Center of the West Specialty Hospital. The appearance of improvement secondary to the surgical process was observed. Patients of any gender and age diagnosed with fractures in the spine treated with vertebroplasty were included. Preoperative and postoperative radiographs were obtained, generating measurements of: pelvic incidence, pelvic inclination, sacral slope, lumbar lordosis and performing the calculation of spine harmony. pelvic. Results: a capture sheet was made with data from the clinical record, which included patients with spinal fracture managed only with percutaneous vertebroplasty; 104 patients were found, of them there were 84 (81%) women and 20 (19%) men. The demographic data resulted in the origin of the injury being traumatic in 24 (23%) patients, degenerative in six (6%), infectious in four (4%), tumorous in 30 (29%) and metabolic in 40 (38%). The symptoms prior to the condition and after the intervention were compared, reporting clinical improvement in the case of metabolic etiology in 37 cases (93%) while in three (8%) patients no reduction in symptoms was noted. Conclusions: despite some limitations, such as the lack of an established time control in the measurement of spino-pelvic parameters, vertebroplasty is presented as an effective and safe option for the management of vertebral fractures, an improvement was observed in the symptoms of the patients in the postoperative period and in the follow-up one month after the intervention. In addition, other studies have supported the effectiveness and safety of vertebroplasty in improving the quality of life and function of patients, especially in those with alterations in the sagittal axis of the spine.REFERENCES
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