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Medial Branch Block Versus Vertebroplasty for 1-Level Osteoporotic Vertebral Compression Fracture: 2-Year Retrospective Study.
- Source :
-
World neurosurgery [World Neurosurg] 2019 Feb; Vol. 122, pp. e1599-e1605. Date of Electronic Publication: 2018 Nov 24. - Publication Year :
- 2019
-
Abstract
- Objective: Percutaneous vertebroplasty (VP) and medial branch block (MBB) are used to treat osteoporotic vertebral compression fractures (VCF). We compared the clinical outcomes, radiologic changes, and economic results of MBB with those of VP in treating osteoporotic VCFs.<br />Methods: A total of 164 patients with 1-level osteoporotic VCF were reviewed retrospectively. The clinical outcomes were measured with a visual analogue scale (VAS) and the Oswestry Disability Index (ODI). To compare economic costs between groups, total hospital costs at the last follow-up day were calculated.<br />Results: The patients were divided into 2 groups: 72 patients in the conservative group treated by MBB (MBB group) and 92 patients in the group who underwent VP (VP group). The VAS and ODI scores improved significantly within postoperative week 1 in the VP group compared with the MBB group. However, the VAS and ODI scores did not differ between the groups after 1 postoperative year. After 2 years of follow-up, 14 new fractures occurred in the VP group and 3 in the MBB group. The improvement in compression ratio was statistically greater in the VP group than in the MBB group. However, after 2 years the radiologic changes between groups did not differ statistically. After the final follow-up visits, the hospital costs were significantly lower in the MBB group.<br />Conclusions: After 2 years of follow-up, VP and MBB both had similar efficacy in terms of pain relief and radiologic changes. MBB was more cost effective than VP. Thus, MBB alone can be a possible alternative to VP in patients with 1-level osteoporotic VCFs.<br /> (Copyright © 2018. Published by Elsevier Inc.)
- Subjects :
- Adult
Aged
Aged, 80 and over
Conservative Treatment economics
Female
Follow-Up Studies
Fractures, Compression diagnostic imaging
Fractures, Compression economics
Health Care Costs
Humans
Lumbar Vertebrae diagnostic imaging
Lumbar Vertebrae injuries
Lumbar Vertebrae surgery
Male
Middle Aged
Osteoporotic Fractures diagnostic imaging
Osteoporotic Fractures economics
Pain Measurement
Retrospective Studies
Spinal Fractures diagnostic imaging
Spinal Fractures economics
Thoracic Vertebrae diagnostic imaging
Thoracic Vertebrae injuries
Thoracic Vertebrae surgery
Treatment Outcome
Fractures, Compression therapy
Nerve Block economics
Osteoporotic Fractures therapy
Spinal Fractures therapy
Vertebroplasty economics
Subjects
Details
- Language :
- English
- ISSN :
- 1878-8769
- Volume :
- 122
- Database :
- MEDLINE
- Journal :
- World neurosurgery
- Publication Type :
- Academic Journal
- Accession number :
- 30481629
- Full Text :
- https://doi.org/10.1016/j.wneu.2018.11.142