Enrico Piovan
Neroradiology Dpt.
Verona - Italy
SPINAL STRENGTHENINGfrom Feb. 2003 to Sep. 2010SPINAL STRENGTHENINGfrom Feb. 2003 to Sep. 2010
717 Procedures
546 Patients
RATIO PROCEDURES / PATIENTS : 1,31
INDICATIONS
VERTEBROPLASTYOSTEOPOROTIC VERTEBRAL COMPRESSION FRACTURESVERTEBROPLASTYOSTEOPOROTIC VERTEBRAL COMPRESSION FRACTURES
370 Procedures
285 Patients
RATIO PROCEDURES / PATIENTS : 1,30
AGE
Min. 51 - Max. 97
Average : 74.4 years old
RISK OF SECONDARYVERTEBRAL FRACTUREFOLLOWING AVERTEBROPLASTIC TREATMENTRISK OF SECONDARYVERTEBRAL FRACTUREFOLLOWING AVERTEBROPLASTIC TREATMENT
Interventional observational study
All 285 Patients
Clinical retrospective observational study
33 Patients
INTERVENTIONAL STUDYINTERVENTIONAL STUDY
ADJACENT LEVEL
28 Fractures in 285 Patients (10%)
Patients age : Min. 58 – Max. 88
Average patiens age : 74.6
DISTANT LEVEL
14 Fractures in 285 Patients (5%)
Patients age : Min. 60– Max. 85
Average patiens age : 74.1
DISK LEAKS
6/28
5 %
DISK LEAKS
4/14
4.2 %
INTERVENTIONAL STUDYINTERVENTIONAL STUDY
RISK
ADJACENT 9% year
DISTANT 9.6% year
NATURAL HISTORY25 % year
INTERVENTIONAL STUDYINTERVENTIONAL STUDY
+
-
18/28 sup. fr. 64.3%
10/28 inf. fr. 35.7%
p < 0.05
9/14 sup. fr. 64.3%
5/14 inf. fr. 35.7%
p < 0.1
CLINICAL STUDYCLINICAL STUDY
33 PATIENTS EVALUATED 1 TO 4 YEARS SINCEVERTEBROPLASTY
IN 52% OF THE PATIENTS A NEW VERTEBRAL FRACTURES OCCURREDDURING FOLLOW-UP
PATIENTS WITH NEW FRACTURE WERE SIGNIFICANTLY OLDER
MEAN AGE 76 YRS VERSUS 70 YRS (P<0,05)
AFTER VERTEBROPLASTY
27% NO SPECIFIC TREATMENT 73% BISPH. TREATMENT
NEW FRACTURES 78% NEW FRACTURES 42%
CONCLUSIONSCONCLUSIONS
• Severe back pain
• Natural history
• Medical treatment