Journal of Musculoskeletal Trauma

Original Articles

Treatment of Osteoporotic Stable Burst Fracture with Percutaneous Vetebroplasty: Shin Kwon Choi, Kwang Yul Kim, Moon Sup Yim, Do Young Lee; J Korean Fract Soc 2006;19(2):247-253. Published online April 30, 2006; DOI: https://doi.org/10.12671/jkfs.2006.19.2.247

PURPOSE
To evaluate the result of percutaneous vertebroplasty in the treatment of osteorporotic stable burst fracture that has not neurologic symptom.
MATERIALS AND METHODS
A retrospective review was conducted in 37 vertebrae of 33 patinets with osteoporotic stable burst fracrure treated by percutaneous vertebroplasty from February 2000 to May 2003. Stable burst fracture was classified by McAfee. The operation was performed in the patient without neurologic symptom, BMD T-score was below -2.5 and hot uptake was seen in (99m)Tc bone scan. The operation was held from post-traumatic 7 to 32 days, average 17 days. Follow up period was from 5 months to 38 months, average 11 months. The result of the treatment was assesed by clinical finding (pain scale and work status by Denis) and radiologic findings (percentage height restored and change of kyphotic angle).
RESULTS
In clinical assessment, 27 had a satisfactory pain scale below the P3, 25 had a satisfactory work status below the W3. In the radiologic findings, percentage height restore was increased from 0% to 62%, average 23.3%. The preop. kyphotic angle was from -20 degree to 42 degree, average 8.9 degree. The postop. kyphotic angle was from -20 to 42 degree, average 6.5 degree. The kyphotic angle was decreased average 2.4 degree after operation.
CONCLUSION
Treatment of osteoporotic stable burst fracture with percutaneous vertebroplasty is the minimal invasive treatment that has satisfactory pain relief and reduction of fracture.

Citations

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Outcome Comparison between Percutaneous Vertebroplasty and Conservative Treatment in Acute Painful Osteoporotic Vertebral Compression Fracture
Hwa-Yeop Na, Young-Sang Lee, Tae-Hoon Park, Tae-Hwan Kim, Kang-Won Seo
Journal of Korean Society of Spine Surgery.2014; 21(2): 70. CrossRef

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The Neccessity of Additional Supporting Fixation for the Unstable Intertrochanteric Fractures of the Femur in the Elderly: Hyoun Oh Cho, Kyoung Duck Kwak, Soo Min Sohn, Cheol Ho Kang, Seung Il Whang, Sang Min An, Do Young Lee; J Korean Soc Fract 2001;14(1):23-29. Published online January 31, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.1.23

Abstract PDF: PURPOSE
This study was designed to assess the necessity of additional supporting fixation to the traditional internal fixation for unstable intertrochanteric fractures of femur.
MATERIALS AND METHODS
Seventy two cases of unstable intertrochanteric fractures (modified Boyd-Anderson type III, IV) in the elderly were reviewed, which were internally fixed with Dynamic Hip Screw. 48 cases were treated with Dynamic Hip Screw only(Group I) and 24 cases with Dynamic Hip Screw and additional trochanteric supporting plate(Group II). In 13 cases with weak femoral cortx, we added wiring to the side plate. We measured neck-shaft angle, degrees of displacement of greater trochanteric fragment, slippage of hip screw on plain radiographs.
RESULTS
Varus change in neck-shaft angle, displacement of greater trochanteric fragment and slippage of hip screw revealed 7.3Â°, 5.4 mm, and 10.7 mm respectively in group I, while 2.1Â°, 0.1 mm and 3.8 mm respectively in group II. There were no pullout of cortical screws.
CONCLUSION
Internal fixation with additional trochanteric supporting plate to the conventional Dynamic Hip Screw was effective in unstable intertrochanteric fractures of the femur in the elderly. Added wiring to the side plate was also helpful in weak femoral cortex.

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