Prospective quantitative assessment of spinal range of motion before and after minimally invasive surgical treatment of vertebral body fractures
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- 作者：C. Druschel (1)
K.-D. Schaser (1)
A. Rohlmann (2)
T. Pirvu (1)
A. C. Disch (1) - 关键词：Vertebral body fracture ; Pathologic fracture ; Spinal range of motion ; Outcome measurement ; Range of motion measurement
- 刊名：Archives of Orthopaedic and Trauma Surgery
- 出版年：2014
- 出版时间：August 2014
- 年：2014
- 卷：134
- 期：8
- 页码：1083-1091
- 全文大小：448 KB
- 参考文献：1. Wang HK, Lu K, Liang CL, Weng HC, Wang KW et al (2010) Comparing clinical outcomes following percutaneous vertebroplasty with conservative therapy for acute osteoporotic vertebral compression fractures. Pain Med 11:1659-665 dx.doi.org/10.1111/j.1526-4637.2010.00959.x" target="_blank" title="It opens in new window">CrossRef
2. Dennison E, Cooper C (2000) Epidemiology of osteoporotic fractures. Horm Res 54(Suppl 1):58-3 dx.doi.org/10.1159/000063449" target="_blank" title="It opens in new window">CrossRef
3. Tamayo-Orozco J, Arzac-Palumbo P, Peon-Vidales H, Mota-Bolfeta R, Fuentes F (1997) Vertebral fractures associated with osteoporosis: patient management. Am J Med 103:44S-8S (discussion 8S-0S) dx.doi.org/10.1016/S0002-9343(97)90026-7" target="_blank" title="It opens in new window">CrossRef
4. Alvarez L, Alcaraz M, Perez-Higueras A, Granizo JJ, de Miguel I et al (2006) Percutaneous vertebroplasty: functional improvement in patients with osteoporotic compression fractures. Spine 31:1113-118 dx.doi.org/10.1097/01.brs.0000216487.97965.38" target="_blank" title="It opens in new window">CrossRef
5. Fourney DR, Schomer DF, Nader R, Chlan-Fourney J, Suki D et al (2003) Percutaneous vertebroplasty and kyphoplasty for painful vertebral body fractures in cancer patients. J Neurosurg 98:21-0 dx.doi.org/10.3171/jns.2003.98.1.0021" target="_blank" title="It opens in new window">CrossRef
6. Garfin SR, Buckley RA, Ledlie J, Balloon KOG (2006) Balloon kyphoplasty for symptomatic vertebral body compression fractures results in rapid, significant, and sustained improvements in back pain, function, and quality of life for elderly patients. Spine 31:2213-220 dx.doi.org/10.1097/01.brs.0000232803.71640.ba" target="_blank" title="It opens in new window">CrossRef
7. Heini PF (2005) The current treatment–a survey of osteoporotic fracture treatment. Osteoporotic spine fractures: the spine surgeon’s perspective. Osteoporos Int: J Establ Result Cooper Eur Found Osteoporos Natl Osteoporos Found USA 16 Suppl 2:S85–S92 dx.doi.org/10.1007/s00198-004-1723-1" target="_blank" title="It opens in new window">CrossRef
8. Klazen CA, Venmans A, de Vries J, van Rooij WJ, Jansen FH et al (2010) Percutaneous vertebroplasty is not a risk factor for new osteoporotic compression fractures: results from VERTOS II. AJNR Am J Neuroradiol 31:1447-450 dx.doi.org/10.3174/ajnr.A2148" target="_blank" title="It opens in new window">CrossRef
9. Voormolen MH, Mali WP, Lohle PN, Fransen H, Lampmann LE et al (2007) Percutaneous vertebroplasty compared with optimal pain medication treatment: short-term clinical outcome of patients with subacute or chronic painful osteoporotic vertebral compression fractures. The VERTOS study. AJNR Am J Neuroradiol 28:555-60
10. Diamond TH, Champion B, Clark WA (2003) Management of acute osteoporotic vertebral fractures: a nonrandomized trial comparing percutaneous vertebroplasty with conservative therapy. Am J Med 114:257-65 dx.doi.org/10.1016/S0002-9343(02)01524-3" target="_blank" title="It opens in new window">CrossRef
11. Ledlie JT, Renfro MB (2006) Kyphoplasty treatment of vertebral fractures: 2-year outcomes show sustained benefits. Spine 31:57-4 dx.doi.org/10.1097/01.brs.0000192687.07392.f1" target="_blank" title="It opens in new window">CrossRef
12. Lieberman IH, Dudeney S, Reinhardt MK, Bell G (2001) Initial outcome and efficacy of “kyphoplasty-in the treatment of painful osteoporotic vertebral compression fractures. Spine 26:1631-638 dx.doi.org/10.1097/00007632-200107150-00026" target="_blank" title="It opens in new window">CrossRef
13. Zampini JM, White AP, McGuire KJ (2010) Comparison of 5766 vertebral compression fractures treated with or without kyphoplasty. Clin Orthop Relat Res 468:1773-780 dx.doi.org/10.1007/s11999-010-1279-7" target="_blank" title="It opens in new window">CrossRef
14. Kasperk C, Hillmeier J, Noldge G, Grafe IA, Dafonseca K et al (2005) Treatment of painful vertebral fractures by kyphoplasty in patients with primary osteoporosis: a prospective nonrandomized controlled study. J Bone Miner Res: Off J Am Soc Bone Miner Res 20:604-12 dx.doi.org/10.1359/JBMR.041203" target="_blank" title="It opens in new window">CrossRef
15. Edidin AA, Ong KL, Lau E, Kurtz SM (2011) Mortality risk for operated and nonoperated vertebral fracture patients in the medicare population. J Bone Miner Res: Off J Am Soc Bone Miner Res 26:1617-626 dx.doi.org/10.1002/jbmr.353" target="_blank" title="It opens in new window">CrossRef
16. Julka A, Tolhurst SR, Srinivasan RC, Graziano GP (2012) Functional outcomes and height restoration for patients with multiple myeloma-related osteolytic vertebral compression fractures treated with kyphoplasty. J Spinal Disord Tech [Epub ahead of print]
17. Taylor WR, Consmuller T, Rohlmann A (2010) A novel system for the dynamic assessment of back shape. Med Eng Phys 32:1080-083 dx.doi.org/10.1016/j.medengphy.2010.07.011" target="_blank" title="It opens in new window">CrossRef
18. Consmuller T, Rohlmann A, Weinland D, Druschel C, Duda GN, Taylor WR (2012) Velocity of lordosis angle during spinal flexion and extension. PLoS One 7:e50135 dx.doi.org/10.1371/journal.pone.0050135" target="_blank" title="It opens in new window">CrossRef
19. Consmuller T, Rohlmann A, Weinland D, Druschel C, Duda GN, Taylor WR (2012) Comparative evaluation of a novel measurement tool to assess lumbar spine posture and range of motion. Eur Spine J: Off Publ Eur Spine Soc Eur Spinal Deformity Soc Eur Sect Cerv Spine Res Soc 21:2170-180 dx.doi.org/10.1007/s00586-012-2312-1" target="_blank" title="It opens in new window">CrossRef
20. Colon-Emeric CS, Saag KG (2006) Osteoporotic fractures in older adults. Best practice and research. Clin Rheumatol 20:695-06
21. Li X, Yang H, Tang T, Qian Z, Chen L, Zhang Z (2012) Comparison of kyphoplasty and vertebroplasty for treatment of painful osteoporotic vertebral compression fractures: twelve-month follow-up in a prospective nonrandomized comparative study. J Spinal Disord Tech 25:142-49 dx.doi.org/10.1097/BSD.0b013e318213c113" target="_blank" title="It opens in new window">CrossRef
22. Voggenreiter G, Brocker K, Rohrl B, Sadick M, Obertacke U (2008) Results of balloon kyphoplasty in the treatment of osteoporotic vertebral compression fractures. Der Unfallchirurg 111:403-12 dx.doi.org/10.1007/s00113-008-1453-5" target="_blank" title="It opens in new window">CrossRef
23. Ledlie JT, Renfro M (2003) Balloon kyphoplasty: one-year outcomes in vertebral body height restoration, chronic pain, and activity levels. J Neurosurg 98:36-2
24. Buchbinder R, Osborne RH, Ebeling PR, Wark JD, Mitchell P et al (2009) A randomized trial of vertebroplasty for painful osteoporotic vertebral fractures. N Engl J Med 361:557-68 dx.doi.org/10.1056/NEJMoa0900429" target="_blank" title="It opens in new window">CrossRef
25. Kallmes DF, Comstock BA, Heagerty PJ, Turner JA, Wilson DJ et al (2009) A randomized trial of vertebroplasty for osteoporotic spinal fractures. N Engl J Med 361:569-79 dx.doi.org/10.1056/NEJMoa0900563" target="_blank" title="It opens in new window">CrossRef
26. Taylor RS, Fritzell P, Taylor RJ (2007) Balloon kyphoplasty in the management of vertebral compression fractures: an updated systematic review and meta-analysis. Eur Spine J: Off Publ Eur Spine Soc, Eur Spinal Deformity Soc, Eur Sect Cerv Spine Res Soc 16:1085-100 dx.doi.org/10.1007/s00586-007-0308-z" target="_blank" title="It opens in new window">CrossRef
27. Rohlmann A, Zander T, Bergmann G (2006) Spinal loads after osteoporotic vertebral fractures treated by vertebroplasty or kyphoplasty. Eur Spine J: Off Publ Eur Spine Soc, Eur Spinal Deformity Soc, Eur Sect Cerv Spine Res Soc 15:1255-264 dx.doi.org/10.1007/s00586-005-0018-3" target="_blank" title="It opens in new window">CrossRef
28. Kumar K, Nguyen R, Bishop S (2010) A comparative analysis of the results of vertebroplasty and kyphoplasty in osteoporotic vertebral compression fractures. Neurosurgery 67:ons171–ons188 (discussion ons88) dx.doi.org/10.1227/01.NEU.0000380936.00143.11" target="_blank" title="It opens in new window">CrossRef
29. Liu JT, Liao WJ, Tan WC, Lee JK, Liu CH et al (2010) Balloon kyphoplasty versus vertebroplasty for treatment of osteoporotic vertebral compression fracture: a prospective, comparative, and randomized clinical study. Osteoporos Int: J Establ Result Cooper Eur Found Osteoporos Natl Osteoporos Found USA 21:359-64 dx.doi.org/10.1007/s00198-009-0952-8" target="_blank" title="It opens in new window">CrossRef
30. Pradhan BB, Bae HW, Kropf MA, Patel VV, Delamarter RB (2006) Kyphoplasty reduction of osteoporotic vertebral compression fractures: correction of local kyphosis versus overall sagittal alignment. Spine 31:435-41 dx.doi.org/10.1097/01.brs.0000200036.08679.1e" target="_blank" title="It opens in new window">CrossRef
31. Stoffel M, Wolf I, Ringel F, Stuer C, Urbach H, Meyer B (2007) Treatment of painful osteoporotic compression and burst fractures using kyphoplasty: a prospective observational design. J Neurosurg Spine 6:313-19 dx.doi.org/10.3171/spi.2007.6.4.5" target="_blank" title="It opens in new window">CrossRef
32. Holt CA, Evans SL, Dillon D, Ahuja S (2005) Three-dimensional measurement of intervertebral kinematics in vitro using optical motion analysis. Proc Inst Mech Eng Part H J Eng Med 219:393-99 dx.doi.org/10.1243/095441105X34374" target="_blank" title="It opens in new window">CrossRef
33. Lee BW, Lee JE, Lee SH, Kwon HK (2011) Kinematic analysis of the lumbar spine by digital videofluoroscopy in 18 asymptomatic subjects and 9 patients with herniated nucleus pulposus. J Manip Physiol Ther 34:221-30 dx.doi.org/10.1016/j.jmpt.2010.12.011" target="_blank" title="It opens in new window">CrossRef
34. Schulze M, Trautwein F, Vordemvenne T, Raschke M, Heuer F (2011) A method to perform spinal motion analysis from functional X-ray images. J Biomech 44:1740-746 dx.doi.org/10.1016/j.jbiomech.2011.03.040" target="_blank" title="It opens in new window">CrossRef
35. Williams JM, Haq I, Lee RY (2010) Dynamic measurement of lumbar curvature using fibre-optic sensors. Med Eng Phys 32:1043-049 dx.doi.org/10.1016/j.medengphy.2010.07.005" target="_blank" title="It opens in new window">CrossRef
36. Dlugosz MM, Panek D, Maciejasz P, Chwala W, Alda W (2012) An improved kinematic model of the spine for three-dimensional motion analysis in the Vicon system. Stud Health Technol Inf 176:227-31
37. Phillips FM, Ho E, Campbell-Hupp M, McNally T, Todd Wetzel F, Gupta P (2003) Early radiographic and clinical results of balloon kyphoplasty for the treatment of osteoporotic vertebral compression fractures. Spine 28:2260-265 (discussion 5-) dx.doi.org/10.1097/01.BRS.0000085092.84097.7B" target="_blank" title="It opens in new window">CrossRef - 作者单位：C. Druschel (1)
K.-D. Schaser (1)
A. Rohlmann (2)
T. Pirvu (1)
A. C. Disch (1)
1. Center for Musculoskeletal Surgery, Spine Unit, Charité - University Medicine Berlin, Augustenburger Platz 1, 13353, Berlin, Germany
2. Julius Wolff Institute, Charité - University Medicine Berlin, Augustenburger Platz 1, 13353, Berlin, Germany - ISSN：1434-3916
文摘
Introduction Randomized clinical trials have generated doubts regarding the therapeutic effectiveness of spinal kyphoplasty to reduce pain and improve quality of life in patients with vertebral fractures. There is a paucity of data on the influence of kyphoplasty on spinal range of motion. To quantify early postoperative changes following kyphoplasty in spinal motion, a noninvasive, radiation-free measurement method was used and results related to clinical and radiological parameters. Methods The study group included 30 patients with an overall number of 54 symptomatic pathological vertebral compression fractures. All patients were treated with balloon kyphoplasty. Clinical results were recorded using the visual analog scale, SF 36, Roland Morris Score and the Oswestry Disability Index, at three time points; preoperative, 2?days postoperative, and at 12?weeks postoperative. The kyphosis angle/sagittal index were determined with biplanar X-rays. Amplitude/velocity of motion in extension/flexion was measured at each time point by use of the EpionicsSPINE? system (Epionics Medical GmbH; Potsdam, Germany) using two external sensor strips. Results Preoperative magnetic resonance imaging scans showed bone marrow edema in all vertebral bodies indicative of a recent, non-consolidated fracture. Pain and quality of life was significantly improved by kyphoplasty, both for the immediate postoperative period, as well as at 12?weeks postoperative. Radiological parameters also showed significant improvement following surgery. Total ROM did not significantly change 2?days after kyphoplasty, but amplitude and velocity were found to be increased 12?weeks postoperatively. Significant positive correlations were observed between increased range of motion and improved clinical/radiological scores. Conclusion Significant clinical and radiological improvement following kyphoplasty supports the rational for cement augmentation in patients with pathological vertebral body fractures. To the knowledge of the authors, no prior study has assessed the influence of preservation and improvement of spinal range of motion on clinical outcome following kyphoplasty.