INTERET DE LA VERTEBROPLASTIE ET LA KYPHOPLASTIE DANS LA PRISE EN CHARGE DES TASSEMENTS VERTEBRAUX TRAUMATIQUES ET LYTIQUES. ETUDE RETROSPECTIVE A PROPOS DE 60 CAS

M. Mounadi, N. ElAbbadi

Résumé


Introduction:Vertebroplasty and kyphoplasty are two minimally invasive procedures used to consolidate the vertebral body. Those technics are performed not only for post traumatic fractures, but also for pathological fractures in cancer patients.

Materials and methods: The authors retrospectively reviewed the record of all patient who underwent a vertebroplasty or a kyphoplasty for vertebral traumatic fracture, osteoporotic fracture, pathological compression fracture or vertebral angioma at the department of neurosurgery of IbnSina hospital in Rabat between january 2006 and february 2015. The success of the procedure was defined by the improvement of pain according to the visual analog scale (VAS) and the reduction of kyphosis.

Results: In total, over 10 year, 68 spinal levels were treated in 60 patients. Among them 38 were vertebroplasty (63,3%), and 22 were kyphoplasty (36,7%). Traumatic fractures were incriminated in 25 cases (41,7%), osteoporotic fractures in 23 cases (38,3%) and pathological fractures in 10 cases (15,7%). The VAC was evaluated 24 hours after surgery and revealed an improvement from 8/10 to 2/10. 90% of patients showed a relief of pain compared to immediate post-operative pain. A reduction of kyphosis of 4,89° was observed after vertebroplasty and 6,96° after kyphoplasty.

Conclusion: Although the study is heterogeneous, it confirms the good outcomes of vertebroplasty and kyphoplasty on the pain and the reduction of deformity in the treatment of vertebral fracture whatever the cause.


Mots-clés


vertebroplasty, kyphoplasty, vertebral fracture, osteoporosis, pathological fracture

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