Linh EVALUATION OF THE RESULT OF THORACIC LUMBAR KYPHOPLASTY IN THANH NHAN HOSPITAL Subject Osteoporotic vertebral compression fractures are a menace to the elderly generation causing diminished quality of life due to pain and ID: 929484
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Slide1
Phan Minh Trung, Ha Van Linh
EVALUATION OF THE RESULT OF THORACIC – LUMBAR KYPHOPLASTY IN
THANH NHAN
HOSPITAL
Slide2SubjectOsteoporotic vertebral compression fractures are a menace to the elderly generation causing diminished quality of life due to pain and
deformity
K
yphoplasty
has become a popular tool to address painful thoracic and lumbar compression fractures.
Slide3SubjectSince 2014,
Kyphoplasty
technique has been performed in Neurosurgery department of
Thanh
Nhan
with inspirit outcomes.
We carry out this study in order to:
Evaluation of the results of
Kyphoplasty
in
Thanh
Nhan
hospital
Slide4Objective96 patient underwent
kyphoplasty
in
Thanh
nhan
hospital from 5/2015 to 5/2017
Method
Descriptive, retrospective study
Slide5Procedure
1.
Patient in prone position
Slide6Procedure
2.
Mark the target poins under flouroscope guidence
Slide7Procedure
3.
S
kin antiseptic by
Povidone iod 10
%
and local anesthesie by lidocain 0,2%
Slide8Procedure
5.
Insert trocart to VB through pedicle under fluoroscope guidence
Slide9Procedure
6
.
Making
tunel
intra VB by drill needle for balloon and inflate the balloon to make a cavity
Slide10Procedure
7.
Injecting cement in to VB through
trocart
Slide11Procedure
8.
Observe careffuly when injecting cement in real-time mode fluoroscope
Slide12RESULTS
Slide131. Age
2.
Sex
Age
N
%
<40
2
2,1
40
to
<60
12
12,5
60
to
<80
49
51
>= 80
33
34,4
Mean
value
67.8 +/- 17.5
Min:
28
yrs
,
Max:
91
yrs
Sex
N
%
Female
77
80,2
Male
19
19,8
Slide143. T
rauma history
Trauma
N
%
Yes
87
90,6
No
9
9,4
Slide154. Imaging
Number of VCF
N
%
Single
91
94,8
Multi VB
5
5,2
Level
N=101
%
D10
8
7
D11
14
13,9
D12
52
51,4
L1
26
25,7
L2
2
2
Slide16VCF grade
N=101
%
Grade
1
65
64,3
Grade
2
26
25,8
Grade
3
10
9,9
Marrowbone edema
MRI
N=101
%
Yes
96
95
No
5
5
Slide17T-score
Lumbar
Femur
N
Tỷ lệ %
N
Tỷ lệ %
-1 < T-score
0
0
0
0
-2,5 < T-score < -1
13
13,5
26
27,1
T-score < -2,5
83
86,5
70
72,9
Tổng
96
100
96
100
Slide185.
Surgery
volume of cement injected
:
min
2,5ml,
max
6,5ml,
mean volume
4 +/- 1,25ml
Trocart
N=101
%
Single
17
16,8
Two
84
83,2
Slide19Slide20VAS pre op, post op and 3 months follow up
Slide21Complications
N=101
%
Cement leakage
Disc
9
2
11
Spine canal
Out of VB
V
enous extravasation
2
2
Allergic
0
Infection
0
Mortality
0
All complications are asymptomatic
Slide22Slide23Slide24ConclusionKyphoplasty
is an effective tool to treat pain caused by thoracolumbar vertebral compression fractures. The complication rate of
kyphoplasty
is dramatically lower than in alternative open instrumented procedures, and the immediate pain reduction is significantly greater in
kyphoplasty
compared to conservative treatment.
Slide25Thanks
for
your
attention