Anesthesia and Analgesia | Anesthesiology | Higher Education | Medicine and Health Sciences | Surgical Procedures, Operative | Therapeutics
Introduction: Vertebroplasty and Kyphoplasty are two forms of percutaneous vertebral augmentation (PVA), in which polymethylmethacrylate cement is used to stabilize vertebral compression fractures (VCF). This study sought to evaluate the relationship between cement volume and clinical outcomes, including pain reduction, opioid use, and complication rate.
Methods: Retrospective chart review produced 88 patients who received PVA at a tertiary care outpatient pain clinic. Cement volume, type of PVA, gender, level (thoracic vs lumbar) were collected, as well as clinical outcomes of numeric pain score (NPS) reduction, opioid percent change (OPC), and complications. Both pre-procedure and post-procedure (between 2-4 weeks) data were collected.
Results: Sixty-four patients (72.7%) had statistically significant NPS reduction of ≥50% pain (p
Conclusion: Cement volume does not correlate with clinical outcomes of NPS reduction or OPC. Furthermore, our study reinforced PVA as a beneficial treatment for reducing pain and opioid consumption in patients with painful VCF.
Kyphoplasty, Vertebroplasty, Back Pain/therapy, Pain Management, Treatment Outcome, Chronic Pain, Cementoplasty, Fractures Compression
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Mirpuri, R. G., Are, M., Hardie, V., Warden, M. J., , High, R. The Clinical Relevance of Cement Volume in Percutaneous Vertebral Augmentation. Graduate Medical Education Research Journal. 2020 Sep 29; 2(1).