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Clinical applications of percutaneous vertebroplasty and percutaneous kyphoplasty on the treatment of osteoporotic vertebral compression fracture
ABSTRACTS / Bone 43 (2008) S94–S110
Conclusion: Beijing women before the age of 35 had a period of bone accumulating and the BMD peaked between the ages of 35 and 39. An onset of bone loss occurred at the age of 40. The bone loss was accelerated during the ages of 50–54 at which was the first 6 years of postmenopause. Thus to prevent osteoporosis measure should be taken as earlier as possible and according different stages. During the period of bone accumulating the all kinds of methods could be used to help to achieve a higher peak BMD. After the age of 40 measures should be taken to stop or reduce the bone loss; especially for postmenopausal women, HRT could be used to prevent the accelerated bone loss. For those elder women who may already have very low BMD protective methods should be used to prevent them from fracture. doi:10.1016/j.bone.2008.07.221
F38 Clinical study of treatment for intractable pain of compression fracture of osteoporosis with acupuncture–moxibustion Shuangchun Ai The TCM Hospital of Mian Yang, Si Chuan, China Objective: In order to investigate treatment for intractable pain of compression fracture of osteoporosis with acupuncture–moxibustion. Methods: In this study, eighty people with compression fracture osteoporosis were divided into 2 groups: Acupuncture–moxibustion group (group A) and west-medicine control group (group B). Results: After one week of treatment, the acupuncture–moxibustion group (group A) reduced pain integral of compression fracture osteoporosis. Conclusion: Acupuncture–moxibustion can relieve pain of compression fracture osteoporosis. doi:10.1016/j.bone.2008.07.222
F39 The comparison of calcaneal radiography with BMD measured by DXA for diagnosis of immobilization osteoporosis in children Heng Wan, Jiang Shen, Dingzhuo Yang Department of Osteoporosis and Endocrinology, West China Fourth University Hospital of Sichuan University, Chengdu, China Objective: To investigate the clinical significances between the results obtained with calcaneal radiography and dual energy X-ray absorptiometry (DXA) for diagnosis of immobilization osteoporosis in children. Methods: 43 patients (range from 9 to 16) kept in the bed had their bone mineral density (BMD) measured with DXA in calcaneum in the upper, lower end of the tibia, and lumbar spines (L1–L4). At the same time, all of them also underwent calcaneal radiography before staying in bed, one month later, and three months after staying in bed, respectively. Results: The BMD of the locations of examined and Jhamaria's grade of calcaneum were gradually lowered with increasing of lying in bed. Jhamaria's grade of calcaneum was positively associated with the BMD of the locations of examined. The positive rate of detection osteoporosis between calcaneal radiography and the DXA of the positions of examined was significantly different after three months in bed. There was significant correlation between calcaneal radiography and the BMD of the calcaneum in the patients after three months in bed.
S107
Conclusion: Calcaneal radiography may be the proper fundamental diagnostic method that is suited to the condition of our country in immobilization osteoporosis in children. doi:10.1016/j.bone.2008.07.223
F40 Clinical applications of percutaneous vertebroplasty and percutaneous kyphoplasty on the treatment of osteoporotic vertebral compression fracture Zhongliang Deng, Zhenyong Ke, Fu Chen Chongqing Medical University, 2nd Affiliated Hospital, Chongqing, China Objective: To summarize the clinical effects and techniques of percutaneous vertebroplasty (PVP) and kyphoplasty (PKP) in treatment of osteoporotic vertebral compression fracture (OVCF). Methods: 233 cases (432 vertebrae) with OVCF were underwent PVP or PKP guided X-ray from October 2001 to May 2006. 133 cases (312 vertebrae) underwent PVP and 100 cases (120 vertebrae) underwent PKP. The operation position included prone position, lateral recumbent position and semiprone position. Local anaesthesia was applied during the procedure. Pain was measured with Visual analogue scale (VAS) in the patients preoperative and at 3 days postoperatively. Bone cement polymethylmethycrylate (PMMA) was injected into the fractured verterobody during PVP and PKP procedures. Results: The average volume of bone cement injected into each vertebral body in PVP and PKP was 3.5 m1(range 0.5 ml–11.5 ml) and 5.8 ml (range 2.5 ml–12 ml), respectively. VAS was decreased by a mean of 5.8 at 3 days postoperatively. The rate of cement leakage in PVP and in PKP was 28% and 12%, respectively. No clinical manifestation related to the cement leakage was observed. Conclusions: PVP and PKP can quickly relieve pain and enhance vertebral stability in treating OVCF. PVP is cheap but the distribution and amount of the cement injected are unstable and unpredictable. The rate of cement leakage was more often than it in PkP. To improve instrument and techniques may achieve the clinical effect and decrease the complication. PKP is the more effective and much safer way to treat OVCF. Unipedicular approach in PVP and PKP is quick, safe, economic and less X-ray exposure. doi:10.1016/j.bone.2008.07.224
F41 Relevance analysis between lumbar dorsaventral bone mineral density and menopausal in women in Nanjing City Junhao Guo, Rubing Yao, Zhiming Zhao, Xuli Zang, Hui Cai Jinling Hospital, China Objective: To provide some evidence for preventing postmenopausal osteoporosis by analyzing the relevance between lumbar dorsaventral bone mineral density (L2–4BMD) and menopausal in women. Methods: 52 symptomless women age 50 to 54 years in Nanjing City were divided into 2 groups, as post-menopause group and nullimenopause group. L2–4BMD of the women was detected by GE Lunar Prodigy dual energy X-ray absorptiometry (DEXA). When a T score less than −1 was regarded abnormal. The relevance between L2–4BMD and menopausal were analyzed by SPSS15.0, data was entered by Epidata3.1.
Conclusion: Beijing women before the age of 35 had a period of bone accumulating and the BMD peaked between the ages of 35 and 39. An onset of bone loss occurred at the age of 40. The bone loss was accelerated during the ages of 50–54 at which was the first 6 years of postmenopause. Thus to prevent osteoporosis measure should be taken as earlier as possible and according different stages. During the period of bone accumulating the all kinds of methods could be used to help to achieve a higher peak BMD. After the age of 40 measures should be taken to stop or reduce the bone loss; especially for postmenopausal women, HRT could be used to prevent the accelerated bone loss. For those elder women who may already have very low BMD protective methods should be used to prevent them from fracture. doi:10.1016/j.bone.2008.07.221
F38 Clinical study of treatment for intractable pain of compression fracture of osteoporosis with acupuncture–moxibustion Shuangchun Ai The TCM Hospital of Mian Yang, Si Chuan, China Objective: In order to investigate treatment for intractable pain of compression fracture of osteoporosis with acupuncture–moxibustion. Methods: In this study, eighty people with compression fracture osteoporosis were divided into 2 groups: Acupuncture–moxibustion group (group A) and west-medicine control group (group B). Results: After one week of treatment, the acupuncture–moxibustion group (group A) reduced pain integral of compression fracture osteoporosis. Conclusion: Acupuncture–moxibustion can relieve pain of compression fracture osteoporosis. doi:10.1016/j.bone.2008.07.222
F39 The comparison of calcaneal radiography with BMD measured by DXA for diagnosis of immobilization osteoporosis in children Heng Wan, Jiang Shen, Dingzhuo Yang Department of Osteoporosis and Endocrinology, West China Fourth University Hospital of Sichuan University, Chengdu, China Objective: To investigate the clinical significances between the results obtained with calcaneal radiography and dual energy X-ray absorptiometry (DXA) for diagnosis of immobilization osteoporosis in children. Methods: 43 patients (range from 9 to 16) kept in the bed had their bone mineral density (BMD) measured with DXA in calcaneum in the upper, lower end of the tibia, and lumbar spines (L1–L4). At the same time, all of them also underwent calcaneal radiography before staying in bed, one month later, and three months after staying in bed, respectively. Results: The BMD of the locations of examined and Jhamaria's grade of calcaneum were gradually lowered with increasing of lying in bed. Jhamaria's grade of calcaneum was positively associated with the BMD of the locations of examined. The positive rate of detection osteoporosis between calcaneal radiography and the DXA of the positions of examined was significantly different after three months in bed. There was significant correlation between calcaneal radiography and the BMD of the calcaneum in the patients after three months in bed.
S107
Conclusion: Calcaneal radiography may be the proper fundamental diagnostic method that is suited to the condition of our country in immobilization osteoporosis in children. doi:10.1016/j.bone.2008.07.223
F40 Clinical applications of percutaneous vertebroplasty and percutaneous kyphoplasty on the treatment of osteoporotic vertebral compression fracture Zhongliang Deng, Zhenyong Ke, Fu Chen Chongqing Medical University, 2nd Affiliated Hospital, Chongqing, China Objective: To summarize the clinical effects and techniques of percutaneous vertebroplasty (PVP) and kyphoplasty (PKP) in treatment of osteoporotic vertebral compression fracture (OVCF). Methods: 233 cases (432 vertebrae) with OVCF were underwent PVP or PKP guided X-ray from October 2001 to May 2006. 133 cases (312 vertebrae) underwent PVP and 100 cases (120 vertebrae) underwent PKP. The operation position included prone position, lateral recumbent position and semiprone position. Local anaesthesia was applied during the procedure. Pain was measured with Visual analogue scale (VAS) in the patients preoperative and at 3 days postoperatively. Bone cement polymethylmethycrylate (PMMA) was injected into the fractured verterobody during PVP and PKP procedures. Results: The average volume of bone cement injected into each vertebral body in PVP and PKP was 3.5 m1(range 0.5 ml–11.5 ml) and 5.8 ml (range 2.5 ml–12 ml), respectively. VAS was decreased by a mean of 5.8 at 3 days postoperatively. The rate of cement leakage in PVP and in PKP was 28% and 12%, respectively. No clinical manifestation related to the cement leakage was observed. Conclusions: PVP and PKP can quickly relieve pain and enhance vertebral stability in treating OVCF. PVP is cheap but the distribution and amount of the cement injected are unstable and unpredictable. The rate of cement leakage was more often than it in PkP. To improve instrument and techniques may achieve the clinical effect and decrease the complication. PKP is the more effective and much safer way to treat OVCF. Unipedicular approach in PVP and PKP is quick, safe, economic and less X-ray exposure. doi:10.1016/j.bone.2008.07.224
F41 Relevance analysis between lumbar dorsaventral bone mineral density and menopausal in women in Nanjing City Junhao Guo, Rubing Yao, Zhiming Zhao, Xuli Zang, Hui Cai Jinling Hospital, China Objective: To provide some evidence for preventing postmenopausal osteoporosis by analyzing the relevance between lumbar dorsaventral bone mineral density (L2–4BMD) and menopausal in women. Methods: 52 symptomless women age 50 to 54 years in Nanjing City were divided into 2 groups, as post-menopause group and nullimenopause group. L2–4BMD of the women was detected by GE Lunar Prodigy dual energy X-ray absorptiometry (DEXA). When a T score less than −1 was regarded abnormal. The relevance between L2–4BMD and menopausal were analyzed by SPSS15.0, data was entered by Epidata3.1.