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Effect of Conservative Treatment for Refracture in Cemented Vertebrae After Percutaneous Vertebroplasty: A Long Term Follow-up

Received: 15 March 2016     Accepted: 5 April 2016     Published: 26 April 2016
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Abstract

By a long term follow-up, we evaluated the effects of conservative treatment for refracture of cemented vertebrae after percutaneous vertebroplasty (PVP). 12 patients of 324 patients who underwent PVP from January 2012 to August 2014, with back pain, were confirmed refracture in cemented vertebrae. 7 patients got conservative treatment: the usage of analgesics, osteoporosis medication, brace and physical therapy. Visual analogue seale (VAS) and Oswestry disability index (ODI) were evaluated at 7 days, 1, 3 and 12 months after treatment. Patients were followed up for 21.3 ± 11.2 months. Compared with that before treatment, VAS and ODI scores were significantly decreased after treatment (P < 0.05). VAS and ODI scores were also decreased significantly among 7 days, 1 and 3 months after treatment (P < 0.05). No remarkable difference was found between 3 and 12 month (P > 0.05). Further, there were no complications happened, such as leg phlebothrombosis, decubitus and hypostatic pneumonia. Thus, the results of our conservative treatment were optimal. Accordingly, the ratio of refracture in cemented vertebrae after PVP is low, but it is critical for back pain after PVP which should be pay enough attention for clinicians. Conservative treatment can relieve pain and improve spine function, without obvious complications.

Published in Clinical Medicine Research (Volume 5, Issue 3)
DOI 10.11648/j.cmr.20160503.11
Page(s) 20-23
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2016. Published by Science Publishing Group

Keywords

Percutaneous Vertebroplasty, Refracture in Cemented Vertebrae, Conservative Treatment, Long Term Follow-up

References
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Cite This Article
  • APA Style

    Jing Wang, Min Chen, Jiang Du. (2016). Effect of Conservative Treatment for Refracture in Cemented Vertebrae After Percutaneous Vertebroplasty: A Long Term Follow-up. Clinical Medicine Research, 5(3), 20-23. https://doi.org/10.11648/j.cmr.20160503.11

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    ACS Style

    Jing Wang; Min Chen; Jiang Du. Effect of Conservative Treatment for Refracture in Cemented Vertebrae After Percutaneous Vertebroplasty: A Long Term Follow-up. Clin. Med. Res. 2016, 5(3), 20-23. doi: 10.11648/j.cmr.20160503.11

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    AMA Style

    Jing Wang, Min Chen, Jiang Du. Effect of Conservative Treatment for Refracture in Cemented Vertebrae After Percutaneous Vertebroplasty: A Long Term Follow-up. Clin Med Res. 2016;5(3):20-23. doi: 10.11648/j.cmr.20160503.11

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  • @article{10.11648/j.cmr.20160503.11,
      author = {Jing Wang and Min Chen and Jiang Du},
      title = {Effect of Conservative Treatment for Refracture in Cemented Vertebrae After Percutaneous Vertebroplasty: A Long Term Follow-up},
      journal = {Clinical Medicine Research},
      volume = {5},
      number = {3},
      pages = {20-23},
      doi = {10.11648/j.cmr.20160503.11},
      url = {https://doi.org/10.11648/j.cmr.20160503.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.20160503.11},
      abstract = {By a long term follow-up, we evaluated the effects of conservative treatment for refracture of cemented vertebrae after percutaneous vertebroplasty (PVP). 12 patients of 324 patients who underwent PVP from January 2012 to August 2014, with back pain, were confirmed refracture in cemented vertebrae. 7 patients got conservative treatment: the usage of analgesics, osteoporosis medication, brace and physical therapy. Visual analogue seale (VAS) and Oswestry disability index (ODI) were evaluated at 7 days, 1, 3 and 12 months after treatment. Patients were followed up for 21.3 ± 11.2 months. Compared with that before treatment, VAS and ODI scores were significantly decreased after treatment (P  0.05). Further, there were no complications happened, such as leg phlebothrombosis, decubitus and hypostatic pneumonia. Thus, the results of our conservative treatment were optimal. Accordingly, the ratio of refracture in cemented vertebrae after PVP is low, but it is critical for back pain after PVP which should be pay enough attention for clinicians. Conservative treatment can relieve pain and improve spine function, without obvious complications.},
     year = {2016}
    }
    

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    AU  - Jing Wang
    AU  - Min Chen
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    Y1  - 2016/04/26
    PY  - 2016
    N1  - https://doi.org/10.11648/j.cmr.20160503.11
    DO  - 10.11648/j.cmr.20160503.11
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    PB  - Science Publishing Group
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    UR  - https://doi.org/10.11648/j.cmr.20160503.11
    AB  - By a long term follow-up, we evaluated the effects of conservative treatment for refracture of cemented vertebrae after percutaneous vertebroplasty (PVP). 12 patients of 324 patients who underwent PVP from January 2012 to August 2014, with back pain, were confirmed refracture in cemented vertebrae. 7 patients got conservative treatment: the usage of analgesics, osteoporosis medication, brace and physical therapy. Visual analogue seale (VAS) and Oswestry disability index (ODI) were evaluated at 7 days, 1, 3 and 12 months after treatment. Patients were followed up for 21.3 ± 11.2 months. Compared with that before treatment, VAS and ODI scores were significantly decreased after treatment (P  0.05). Further, there were no complications happened, such as leg phlebothrombosis, decubitus and hypostatic pneumonia. Thus, the results of our conservative treatment were optimal. Accordingly, the ratio of refracture in cemented vertebrae after PVP is low, but it is critical for back pain after PVP which should be pay enough attention for clinicians. Conservative treatment can relieve pain and improve spine function, without obvious complications.
    VL  - 5
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Author Information
  • Department of Orthopedics, the First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Orthopedics, the First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Orthopedics, the First Affiliated Hospital of Jinan University, Guangzhou, China

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