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Spine (Phila Pa 1976). 2006 Sep 1;31(19):2213-20.

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.

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1
Department of Orthopaedic Surgery, University of California, San Diego 92103, USA. sgarfin@ucsd.edu

Abstract

STUDY DESIGN:

Prospective, single-arm interventional cohort.

OBJECTIVE:

To evaluate the safety and effectiveness of balloon kyphoplasty to treat symptomatic vertebral body compression fractures (VCFs).

SUMMARY OF BACKGROUND DATA:

VCFs treated nonoperatively can diminish function and quality of life, and lead to chronic health effects. The short-term safety and effectiveness of balloon kyphoplasty for symptomatic VCFs are well-documented, but long-term follow-up is needed.

METHODS:

A total of 155 elderly patients with symptomatic VCFs were enrolled in a prospective, multicenter treatment study of balloon kyphoplasty at 19 geographically diverse US centers. Outcomes included back pain severity, bedrest, and limited activities because of back pain, back disability score, and SF-36 Medical Outcomes Survey, at 7 days (visual analog scale only), and 1, 3, 12, and 24 months after treatment.

RESULTS:

Patients reported severe back pain (15/20 on visual analog scale) interfering with daily activities 90% of days per month before kyphoplasty. Physical functioning and quality of life were also markedly impaired. Statistically significant (P < 0.001) improvements occurred in all pain, functional, and mental health outcomes at the first follow-up after treatment and were maintained for 24 months.

CONCLUSIONS:

Elderly patients with symptomatic VCFs had rapid, significant, and sustained improvements in back pain, back function, and quality of life following balloon kyphoplasty.

[Indexed for MEDLINE]

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