| Journal: | Revista de investigación clínica |
| Database: | PERIÓDICA |
| System number: | 000390727 |
| ISSN: | 0034-8376 |
| Authors: | Macías Hernández, Salvador Israel1 Chávez Arias, Daniel David2 Miranda Duarte, Antonio3 Diez García, María del Pilar4 Coronado Zarco, Roberto5 |
| Institutions: | 1Instituto Nacional de Rehabilitación, Departamento de Rehabilitación Osteoarticular, México, Distrito Federal. México 2Instituto Nacional de Rehabilitación, Subdivisión de Medicina, México, Distrito Federal. México 3Instituto Nacional de Rehabilitación, Departamento de Investigación, México, Distrito Federal. México 4Instituto Nacional de Rehabilitación, Departamento de Rehabilitación Ortopédica, México, Distrito Federal. México 5Instituto Nacional de Rehabilitación, Clínica de Osteoporosis, México, Distrito Federal. México |
| Year: | 2015 |
| Season: | Mar-Abr |
| Volumen: | 67 |
| Number: | 2 |
| Pages: | 98-103 |
| Country: | México |
| Language: | Inglés |
| Document type: | Estadística o encuesta |
| Approach: | Analítico |
| English abstract | Percutaneous vertebroplasty is commonly used in the management of osteoporosis-related vertebral fractures, although there is controversy on its superiority over conservative treatment. Here we compare pain and function in women with vertebral osteoporotic fractures who underwent percutaneous vertebroplasty versus conservative treatment with a protocolized rehabilitation program. Methods: A longitudinal and comparative prospective study was conducted. Women ≥ 60 years of age with a diagnosis of osteoporosis who had at least one vertebral thoracic or lumbar compression fracture were included and divided into two groups, conservative treatment or vertebroplasty. The Visual Analogue Scale (VAS) and Oswestry Disability Index (ODI) were used to assess pain and function, respectively, as the outcome measures. Results: We included 31 patients, 13 (42%) treated with percutaneous vertebroplasty and 18 (58%) with conservative treatment. Baseline clinical characteristics, bone densitometry and fracture data were similar in both groups. At baseline, VAS was 73.1 ± 28.36 in the vertebroplasty group and 68.6 ± 36.1 mm in the conservative treatment group (p = 0.632); at three months it was 33.11 ± 10.1 vs. 42 ± 22.21 mm (p = 0.111); and at 12 months, 32.3 ± 11.21 vs. 36.1 ± 12.36 mm (p = 0.821). The ODI at baseline was 83% in the vertebroplasty group vs. 85% for conservative management (p = 0.34); at three months, 36 vs. 39% (p = 0.36); and at 12 months, 29.38 vs. 28.33% (p = 0.66). Conclusions: Treatment with percutaneous vertebroplasty had no advantages over conservative treatment for pain and function in this group of women ≥ 60 years of age with osteoporosis. ( |
| Disciplines: | Medicina |
| Keyword: | Cirugía, Terapéutica y rehabilitación, Traumatología y ortopedia, Vertebroplastía, Fracturas, Vértebras, Osteoporosis |
| Keyword: | Medicine, Surgery, Therapeutics and rehabilitation, Traumatology and orthopedics, Vertebroplasty, Fractures, Vertebrae, Osteoporosis |
| Full text: | Texto completo (Ver PDF) |
