Abstract

OSTEOPROSIS VERTEBRAL BODY FRACTURE AND ITS TREATMENT BY KYPHOPLASTY METHOD IN GERMANY

Dr. Aosama Aoun* and J. Hillmeier

ABSTRACT

Osteoporosis vertebral body fractures, particularly those resulting from osteoporosis, are prevalent among the elderly and significantly impact quality of life. kyphoplasty has emerged as a minimally invasive procedure aimed at stabilizing fractures, alleviating pain and restoring vertebral height. Recent studies have highlighted the efficacy of PKP in improving patient outcomes, with factors such as age, sex and comorbidities influencing treatment decisions and prognoses. This paper reviews the current literature on osteoporosis vertebral body fractures and kyphoplasty, emphasizing demographic characteristics and clinical outcomes. This report examines the demographic characteristics of patients undergoing kyphoplasty, evaluates clinical outcomes and discusses factors influencing postoperative results. The aim of this paper is to study the easy methods from relief of vertebral body fracture with kyphoplasty. The study was conducted in the St. Vincenz Kraankenhaus Hospital Limburg, Germany, with 25 cases during the study period of January 2010 to December 2011. In this study, the male is 14% and female is 56%. The age differences from < 50 is 24%, 50-69 is 48% and > 70 is 28%. The BMI 18.5–24.9 is 28%, 25.0–29.9 is 52% and ≥30.0 is 20%. The comorbidities among patients are hypertension, diabetes mellitus, chronic kidney disease and chronic obstructive pulmonary disease. Hypertension is 32%, diabetes mellitus is 32%, chronic kidney disease is 12% and chronic obstructive pulmonary disease is 24%. The treatment includes number of vertebrae treated, vertebral level treated, type of anesthesia used, cement leakage during procedure, average ballon inflation volume (mL) and average cement volume injected (mL). In number of vertebrate treated single vertebra is 68% and Multiple vertebrae (≥2) is 32%. In Vertebral level treated, Thoracic (T1-T12) is 60% and Lumbar (L1-L5) is 40%. Type of anesthesia used Local anesthesia is 72% and General anesthesia is 28%. Cement leakage during procedure no leakage is 64%, minor leakage (asymptomatic) is 20% and major leakage (symptomatic) is 16%. Average ballon inflation volume (mL) < 2.0 mL is 24%, 2.0 – 3.0 mL is 36%, 3.1 – 4.0 mL is 28% and > 4.0 mL is 12%. In height restoration (mm) < 2 mm is 12%, 2 to 4 mm is 36%, 4.1 to 6 mm is 36% and >6 mm is 16%. The Kyphotic angle correction < 5º is 8%, 5º to 10º is 40%, 10.1º to 15º is 32% and >15º is 20%.

Keywords: Osteoporosis, Vertebral body fractures, kyphoplasty, Pain, Germany.