[Treatment of chronic and painful vertebral compressive fractures with vertebroplasty in senior patients].

ABSTRACT

OBJECTIVE: To evaluate the efficiency of treatment of chronic and painful compressive fractures of vertebral bodies with vertebroplasty in senior patients. METHODS: 98 patients of chronic and painful compressive fractures of vertebral bodies suffering from severely back pain and activity of daily living, 33 males and 65 females, aged 71 +/- 12, with the average medical history of 12 months, underwent vertebroplasty. Follow-up was conducted for 3 - 40 months. Six-point Behavioral Rating Scale and Activity of Daily Living (ADL) Scale were used to evaluate the efficacy. RESULTS: 123 affected compressive vertebral bodies in the 98 cases were treated with vertebroplasty. After 3.5 - 7 ml of bone cement was injected into the lesions, complete relief was got in 20 cases, obvious relief was achieved in 59 cases, improvement was made in 14 cases, and no progress was seen in 5 case. The score of 6-point Behavioral Rating Scale decreased from 4.2 +/- 1.1 before vertebroplasty to 1.2 +/- 0.9 (P < 0.01). The ADL score decreased from 4.2 +/- 1.1 before vertebroplasty to 1.9 +/- 0.6 (P < 0.01). CONCLUSION: Vertebroplasty significantly improves the painful symptoms and ability of daily life in senior patients with chronic painful vertebral compressive fractures.