Efficacy of Percutaneous Vertebral Augmentation and Use of Physical Therapy Intervention following Vertebral Compression Fractures in Older Adults

Cahoj, Patricia A; Cook, J.; Robinson, Barbara Susan

doi:10.1519/00139143-200704000-00007

Cited by 3 publications

(2 citation statements)

References 49 publications

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“…Although there are limited evidence-based practice guidelines for physical therapy after vertebral augmentation procedures, the primary goal immediately postoperatively is to increase functional mobility. 112,113 As in most spinal protocols, a walking program is the primary source of exercise immediately postoperatively. However, the physical therapist should consult with the surgeon to determine if there are any activity restrictions, especially given a medical diagnosis of osteoporosis.…”

Section: Surgeries Of the Spinementioning

confidence: 99%

Musculoskeletal System

Elrod¹

2014

Acute Care Handbook for Physical Therapists

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Section: Surgeries Of the Spinementioning

confidence: 99%

Musculoskeletal System

Elrod¹

2014

Acute Care Handbook for Physical Therapists

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“…6,7 Vertebral compression fractures can be treated in a minimally invasive fashion by percutaneous vertebroplasty (PVP) and percutaneous kyphoplasty (PKP). [8][9][10] They are used for immediate stabilization of the affected vertebral body by means of image-guided cement injection. 11,12 For treatment of traumatic fractures of the spine, controversial statements have been made about the most effective and safest type of treatment.…”

Section: Introductionmentioning

confidence: 99%

Long-term evaluation of pain reduction after vertebroplasty and kyphoplasty

Hackbarth

Vogl

Naguib

et al. 2021

Acta Radiologica Open

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Background Various studies have been made about the most effective and safest type of treatment for vertebral compression fractures (VCFs). Long-term results are needed for qualitative evaluation. Purpose The purpose of the study is to evaluate the effectiveness of percutaneous vertebroplasty (PVP) and percutaneous kyphoplasty (PKP) procedures for VCFs. Materials and Methods Forty-nine patients who received either PVP or PKP between 2002 and 2015 returned a specially developed questionnaire and were included in a cross-sectional outcome analysis. The questionnaire assessed pain development by use of a visual analog scale (VAS). Imaging data (CT scans) were retrospectively analyzed for identification of cement leakage. Results Patients’ VAS scores significantly decreased after treatment (7.0 ± 3.4 => 3.7 ± 3.4), ( p < 0.001). The average pain reduction in patients treated with PVP was −3.3 ± 3.8 ( p < 0.001) (median −3.5) and −4.0 ± 3.9 ( p < 0.001) (median −4.5) in patients treated with PKP. Fifteen Patients (41.7%) receiving PVP and four patients (30.7%) receiving PKP experienced recurrence of pain. Cement leakage occurred in 10 patients (22.73%). Patients with cement leakage showed comparable VAS scores after treatment (6.8 ± 3.5 => 1.4 ± 1.6), ( p = 0.008). Thirty-nine patients reported an increase in mobility (79.6%) and 41 patients an improvement in quality of life (83.7%). Conclusion Pain reduction by means of PVP or PKP in patients with VCFs was discernible over the period of observation. Percutaneous vertebroplasty and PKP contribute to the desired treatment results. However, the level of low pain may not remain constant.

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