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العنوان
Percutaneous Vertebroplasty in the Management Of Dorsolumbar Spine Fractures /
المؤلف
Shereif, Osama Saber Ibrahim Ali.
هيئة الاعداد
باحث / أسامة صابر ابراهيم علي شريف
مشرف / محمد محمد الرحماني
مناقش / عادل محمود حفني
مناقش / عصام الدين جابر صالح
الموضوع
Spine- Diseases- Diagnosis. Spine- Diseases- Treatment.
تاريخ النشر
2016.
عدد الصفحات
138 P. :
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
علم الأعصاب السريري
تاريخ الإجازة
1/12/2015
مكان الإجازة
جامعة المنوفية - كلية الطب - قسم جراحة المخ والأعصاب
الفهرس
Only 14 pages are availabe for public view

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Abstract

Vertebral fractures; are highly painful, can hinder mobility, affect quality of life and lead to an increase in mortality rate amongst elderly populations. Consequences of untreated vertebral fracture are; reduced height, kyphosis, and chronic back pain.
Vertebroplasty technique was carried out on 40 patients. Patients ages varied from 33-73 years with the series being predominately female (2:1). Nine patients were treated in the acute period. Eleven patients were treated in the sub acute period (between two to eight weeks), Sexteen patients (between two months and one year) following trauma. Four patients were done after one year following trauma.
The insertion of the trocar needle was done via the intrapedicular route which was considered the safest approach to avoid cement extravasation. We used 10-13 gauge trocar needles injecting 4-8ml of cement into thoracic and lumbar fractures, filling the vertebral body. This was done under C-arm imaging in AP and Lateral views.
The results showed that 92% improvement in pain levels immediately postoperatively and assessed again after two weeks. These results coincided with other studies done under similar conditions.
No significant complications with this procedure intraoperatively were witnessed.
With proper technique and patient selection, complications can be minimized. Patients who have had recent trauma, showed better results regarding pain relief and fracture stabilization than patients who suff.