Quality of Life Comparison between Vertebroplasty and Kyphoplasty in Patients with Osteoporotic Vertebral Fractures

Asian Spine Journal

Kyeong-Seop Song¹  Young-Tae Lee¹  Seung-Hwan Lee¹  Su-Keon Lee¹  Geun Jang¹  Sang-Pil Yoon¹  Sang-Youn Lim²  Hwan-Mo Lee²  Seong-Hwan Moon² 

[1] Department of Orthopaedic Surgery, Gwangmyeong Sungae Hospital, Gwangmyeong, Korea.;Department of Orthopaedic Surgery, Yonsei University College of Medicine, Seoul, Korea.;

关键词: Osteoporotic spinal fracture;    Vertebroplasty;    Kyphoplasty;    Quality of life;   

DOI  :  10.4184/asj.2014.8.6.799

来源: DOAJ

【 摘 要 】

Study DesignRetrospective evaluation.PurposeTo compare quality of life in postmenopausal women with osteoporotic vertebral fractures (OVFs) who underwent vertebroplasty (VP) or kyphoplasty (KP).Overview of LiteraturePatient with OVFs who do not respond to conservative treatment can be treated with VP or ballon KP for faster pain relief. There are controversies on which procedure is more effective.MethodsFive hundred twenty-eight postmenopausal women in nationwide hospitals with age of 50 years or older who underwent VP of KP for OVFs were enrolled in this study. Health related quality of life was measured using the European Quality of Life 5 Domains (EQ-5D) and visual analogue scale (VAS).ResultsIn the VP group, average EQ-5D dimension was 1.95 in mobility, 1.86 in self care, 2.02 in usual activity, 2.19 in pain, 1.69 in anxiety or depression. In the KP group, average EQ-5D dimension was 1.83 in mobility, 1.78 in self care, 1.98 in usual activity, 2.03 in pain, 1.55 in anxiety or depression. Quality of life of KP group was significantly better than that of the VP group in mobility (p=0.016), pain (p=0.001), and anxiety or depression (p=0.008). Average EQ-5D index of the VP and the KP group was 0.353 (±0.472) and 0.485 (±0.357), respectively. The EQ-5D index of the KP group was significantly (p<0.001) higher than that of the KP group. The difference of VAS between VP and KP group was not statistically significant (p=0.580).ConclusionsQuality of life in patient with OVFs who underwent KP was significantly better than that of patients who underwent VP.

【 授权许可】

Unknown