Treatment of subacute osteoporotic vertebral compression fractures with percutaneous vertebroplasty: A case report
Introduction. Percutaneous vertebroplasty (PVP), as a mini-invasive approach in the treatment of patients with osteoporotic vertebral compression fractures (OVCFs), provides stabilization of the spine and relives pain. The most commonly it is applied in the 3–6 weeks before bending of the spine. Com...
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2018-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2018/0042-84501700037A.pdf |
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| author | Aleksić Zoran Stanković Ivana Živanović-Mačužić Ivana Jeremić Dejan Radunović Aleksandar Milenković Zoran Stojković Anđelka Simović Aleksandra Stojadinović Ivan Vulović Maja |
| author_facet | Aleksić Zoran Stanković Ivana Živanović-Mačužić Ivana Jeremić Dejan Radunović Aleksandar Milenković Zoran Stojković Anđelka Simović Aleksandra Stojadinović Ivan Vulović Maja |
| author_sort | Aleksić Zoran |
| collection | DOAJ |
| description | Introduction. Percutaneous vertebroplasty (PVP), as a mini-invasive approach in the treatment of patients with osteoporotic vertebral compression fractures (OVCFs), provides stabilization of the spine and relives pain. The most commonly it is applied in the 3–6 weeks before bending of the spine. Complete cessation of pain is easier to achieve if you treat “less mature” fractures. The aim of the report is to show that PVP is effective and safe for old fractures too. Case report. A 77-old patient suffered from a stable compression fracture of 3th lumbar (L3) vertebral body after minor trauma. This fracture was clinically and radiologically diagnosed. The conservative treatment that included lumbo-sacral orthosis (LSO), analgesic drugs and physical therapy, was primarily applied due to permanent pain and type of fracture. After a period of two months, pain persisted, but it was localized in a thoracic spinal segment with radiologically diagnosed fractured bodies of 8th (Th8) and 10th (Th10), thoracic vertebra without neurological deficit. Thoraco-lumbo-sacral orthosis (TLSO) was prescribed and after six months the indication for vertebroplasty of the Th8 and Th10 vertebral body was given. The pain relief had been achieved and the patient was discharged from the Clinic for Orthopedics on the postoperative day 2, and was symptom free during the follow-up period. Conclusion. In patients with stable OVCFs, PVP is an effective therapy for reducing pain and improving mobility of 6 months old fractures. |
| format | Article |
| id | doaj-art-f90e363b2b574b3a86d8f2ee6f14d881 |
| institution | DOAJ |
| issn | 0042-8450 2406-0720 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-f90e363b2b574b3a86d8f2ee6f14d8812025-08-20T03:20:09ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502406-07202018-01-0175101049105310.2298/VSP170130037A0042-84501700037ATreatment of subacute osteoporotic vertebral compression fractures with percutaneous vertebroplasty: A case reportAleksić Zoran0Stanković Ivana1Živanović-Mačužić Ivana2Jeremić Dejan3Radunović Aleksandar4Milenković Zoran5Stojković Anđelka6Simović Aleksandra7Stojadinović Ivan8Vulović Maja9University Clinical Center of Republic of Srpska, Clinic for General and Abdominal Surgery, Banja Luka, Bosnia and HerzegovinaAmbulance of Brigade of Guards, BelgradeFaculty of Medical Sciences, Department of Anatomy and Forensic Medicine, Kragujevac + University of Defence, Faculty of Medicine of the Military Medical Academy, BelgradeFaculty of Medical Sciences, Department of Anatomy and Forensic Medicine, Kragujevac + University of Defence, Faculty of Medicine of the Military Medical Academy, BelgradeMilitary Medical Academy, Clinic for Orthopedic Surgery, BelgradeClinical Center of Kragujevac, Department of Orthopedics and Traumatology, KragujevacFaculty of Medical Sciences, Kragujevac + Clinical Center of Kragujevac, KragujevacFaculty of Medical Sciences, Kragujevac + Clinical Center of Kragujevac, KragujevacMilitary Medical Academy, Clinic for Orthopedic Surgery, BelgradeFaculty of Medical Sciences, Department of Anatomy and Forensic Medicine, Kragujevac + University of Defence, Faculty of Medicine of the Military Medical Academy, BelgradeIntroduction. Percutaneous vertebroplasty (PVP), as a mini-invasive approach in the treatment of patients with osteoporotic vertebral compression fractures (OVCFs), provides stabilization of the spine and relives pain. The most commonly it is applied in the 3–6 weeks before bending of the spine. Complete cessation of pain is easier to achieve if you treat “less mature” fractures. The aim of the report is to show that PVP is effective and safe for old fractures too. Case report. A 77-old patient suffered from a stable compression fracture of 3th lumbar (L3) vertebral body after minor trauma. This fracture was clinically and radiologically diagnosed. The conservative treatment that included lumbo-sacral orthosis (LSO), analgesic drugs and physical therapy, was primarily applied due to permanent pain and type of fracture. After a period of two months, pain persisted, but it was localized in a thoracic spinal segment with radiologically diagnosed fractured bodies of 8th (Th8) and 10th (Th10), thoracic vertebra without neurological deficit. Thoraco-lumbo-sacral orthosis (TLSO) was prescribed and after six months the indication for vertebroplasty of the Th8 and Th10 vertebral body was given. The pain relief had been achieved and the patient was discharged from the Clinic for Orthopedics on the postoperative day 2, and was symptom free during the follow-up period. Conclusion. In patients with stable OVCFs, PVP is an effective therapy for reducing pain and improving mobility of 6 months old fractures.http://www.doiserbia.nb.rs/img/doi/0042-8450/2018/0042-84501700037A.pdfspinal fracturesfractures, compressionosteoporosispainvertebroplastytreatment outcome |
| spellingShingle | Aleksić Zoran Stanković Ivana Živanović-Mačužić Ivana Jeremić Dejan Radunović Aleksandar Milenković Zoran Stojković Anđelka Simović Aleksandra Stojadinović Ivan Vulović Maja Treatment of subacute osteoporotic vertebral compression fractures with percutaneous vertebroplasty: A case report Vojnosanitetski Pregled spinal fractures fractures, compression osteoporosis pain vertebroplasty treatment outcome |
| title | Treatment of subacute osteoporotic vertebral compression fractures with percutaneous vertebroplasty: A case report |
| title_full | Treatment of subacute osteoporotic vertebral compression fractures with percutaneous vertebroplasty: A case report |
| title_fullStr | Treatment of subacute osteoporotic vertebral compression fractures with percutaneous vertebroplasty: A case report |
| title_full_unstemmed | Treatment of subacute osteoporotic vertebral compression fractures with percutaneous vertebroplasty: A case report |
| title_short | Treatment of subacute osteoporotic vertebral compression fractures with percutaneous vertebroplasty: A case report |
| title_sort | treatment of subacute osteoporotic vertebral compression fractures with percutaneous vertebroplasty a case report |
| topic | spinal fractures fractures, compression osteoporosis pain vertebroplasty treatment outcome |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2018/0042-84501700037A.pdf |
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