Syed Faraz H Shah Gillani, Tariq Siddique, Tauseef Ahmad Baluch, Muhammad Taqi, Attique A Durrani
Pakistan Journal of Medical & Health Sciences




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Kyphoplasty As A Day Care Procedure in Osteoporotic Vertebral Fractures

Syed Faraz H Shah Gillani, Tariq Siddique, Tauseef Ahmad Baluch, Muhammad Taqi, Attique A Durrani



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ABSTRACT

Background: The vertebral compression fracture (VCF's) commonly present in old age. Conservative treatment is the mainstay for management, and it has its own merits and demerits. In old age, patients with comorbidities and open surgical management of VCF pose a risk to their lives.

Aim: To manage vertebral compression fractures due to Osteoporosis with Balloon kyphoplasty as a daycare procedure in patients with documented comorbidities under local anaesthesia and sedation for pain relief and the start of routine daily activities.

Methods: This prospective cohort was done using a non-probability consecutive sampling technique at the Department of Orthopedic and Spine Institute, "Doctors Hospital Medical Center", Lahore From January 2016 to February 2018. Seventy-six patients with osteoporotic vertebral fractures without neurological deficit with all documented comorbidities within six months of the injury were included in the study. They were aged between 45 to 70 year and above with a history of trivial injury, later confirmed on clinical examination, plain radiographs, dual-energy x-rays absorptiometry (DEXA) scan, and magnetic resonance image (MRI).

Results: All the patients relieved pain after the Balloons kyphoplasty, and they were able to walk 12-24 hours after the procedure. Amongst the total 76 patients (total 83 vertebrae), there were 34 (44.7%) male and 42 (55.3%) were female. The majority 46 (60.5%) had an acute injury, most 19 (25 %) had sub-acute, and 11 (14.5%) had a chronic injury.

Conclusion: Balloon kyphoplasty can be used as an effective treatment method in VCF to relieve pain and early return to the daily life

Keywords: Balloons kyphoplasty, Vertebral compression fracture, kyphotic angle, Osteoporosis



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