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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 128 - 134 (7page)
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초록· 키워드
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Objective: The optimal threshold of the infusion volume of cement has been a continuous subject in percutaneous vertebroplasty (PVP). This study verifies a causal relationship between the cement volume and the clinical outcome, and suggests the parameters of the appropriate volume of cement in PVP. Methods: This is a retrospective study. One hundred nine patients, who underwent PVP between 2012 and 2015, were included in the study. Various factors such as patients’ fracture levels, fracture types, fracture body volumes, fracture rates, bone mineral densities, and infused cement volumes were analyzed. Cement infusion ratios were calculated, using total amount of infused cement and fractured body volume. Follow up was done after one-week, one-month and three-months, postoperatively. Changes in the middle body height and the cement leakage levels were monitored and clinical outcomes were evaluated using a visual analogue scale. Results: Among the variables, the infusion ratio (r=-0.320, p=0.003, Pearson’s correlation) was the only index that showed a significant cause and effect relationship with favorable clinical outcome, except the group with a T-score of higher than -2.5, and the group with a upper thoracic vertebral level. The patients with a cement infusion ratio of 27.8% or more of the fractured body volume had favorable results. Conclusion: This study showed that high cement infusion ratio revealed favorable outcome in the vertebroplasty of the osteoporotic compression fractures. Infusion ratio of more than 27.8% to osteoporotic compressed vertebrae is optimal for rapid recovery after PVP.
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참고문헌 (28)
참고문헌 신청
Al-Ali F / 2009 / Vertebroplasty: what is important and what is not / AJNR Am J Neuroradiol 30:1835~1839
Baumann C / 2007 / Complications in percutaneous vertebroplasty associated with puncture or cement leakage / Cardiovasc Intervent Radiol 30:161~168
Belkoff SM / 2001 / The biomechanics of vertebroplasty. The effect of cement volume on mechanical behavior / Spine 26:1537~1541
Boszczyk B / 2010 / Volume matters: a review of procedural details of two randomised controlled vertebroplasty trials of 2009 / Eur Spine J 19:1837~1840
Dahl OE / 1994 / Toxic effects of methylmethacrylate monomer on leukocytes and endothelial cells in vitro / Acta Orthop Scand 65:147~153
Baumann C / 2007 / Complications in percutaneous vertebroplasty associated with puncture or cement leakage / Cardiovasc Intervent Radiol 30:161~168
Belkoff SM / 2001 / The biomechanics of vertebroplasty. The effect of cement volume on mechanical behavior / Spine 26:1537~1541
Boszczyk B / 2010 / Volume matters: a review of procedural details of two randomised controlled vertebroplasty trials of 2009 / Eur Spine J 19:1837~1840
Dahl OE / 1994 / Toxic effects of methylmethacrylate monomer on leukocytes and endothelial cells in vitro / Acta Orthop Scand 65:147~153
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