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1. 양, 동훈. Effect of Vertebroplasty with Bone Filler Device and Comparison with Balloon Kyphoplasty.

Degree: 2014, Ajou University

BACKGROUND CONTEXT: Vertebroplasty and kyphoplasty are popular procedures for osteoporotic vertebral compression fractures. Although the kyphoplasty has a superior effect, it destroys normal vertebral trabecular structure and it has a higher cost. PURPOSE: To analyze vertebroplasty with a bone filler device compared with conventional kyphoplasty. STUDY DESIGN: A cross-sectional study for comparison of two operation groups. PATIENT SAMPLE: Two-hundred twenty-two patients treated from January 2008 to October 2012 OUTCOME MEASURES: Vertebral height, compression ratio, and segmental Cobb’s angle were measured in preoperative and postoperative lateral X-rays. METHODS: One hundred ninety-five patients were included after exclusion of 27 patients. One level fractures numbered 169 (86.7%) cases and two level fractures numbered 26 (13.3%). A total of 221 vertebral levels were analyzed consequently. Statistical analysis was performed to identify significant differences between the two groups. RESULTS: Vertebral height and compression ratio had stronger correlations than did segmental Cobb’s angle. The compression ratio was the most influential parameter among the three variables. Adjusted postoperative compression ratio was not significantly different between the two operation groups, whereas adjusted postoperative vertebral height and segmental Cobb’s angle differed significantly (p < 0.05). Bone cement leakage rates did not differ (p < 0.05). Bone cement distribution was spongy type in the majority of the vertebroplasty group (94.5%), but only spongy type in 42.0% of the kyphoplasty group. High bone densitometry (BMD) readings and long period from diagnosis to operation were significant risk factors for bone cement leakage among preoperative conditions. CONCLUSION: Compared with kyphoplasty, vertebroplasty with a bone filler device could achieve equivalent compression reduction and bone cement leakage rate, as well as greater sponge-type bone cement distribution, which were advantages over conventional vertebroplasty and kyphoplasty.

배경: 척추체 성형술과 풍선 척추체 성형술은 골다공증성 척추 압박골절에 널리 쓰이는 치료법이다. 풍선 척추체 성형술이 더 나은 효과를 보인다고 알려져 있으나 척추체의 골소주를 파괴하고 비용이 더 높다는 단점이 있다. 목적: 피스톤 방식 뼈시멘트 주입기를 이용한 척추체 성형술과 풍선 척추체 성형술의 결과를 비교한다. 연구 디자인: 두 가지 수술 그룹의 비교를 통한 단면 연구. 연구 대상: 2008년 1월부터 2012년 10월까지 수술을 시행한 222명. 결과 측정: 수술 전 후의 척추체 높이, 척추체 압박율, 및 Cobb 각도를 측정하고 비교하였다. 방법: 222명 중 27명을 제외한 195명의 환자가 포함되었으며, 1분절의 골절은 169명 이었고 (86.7%), 두 분절의 골절은 26명 이었다 (13.3%). 총 221개의 척추 분절에 대해 두 그룹간의 차이를 알기 위해 통계학적 분석을 시행하였다. 결과: 척추체 높이와 압박율은 Cobb각도와 비교 시 더 높은 상관관계를 보였으며. 세 변수 중 척추체 압박율이 가장 영향력 있는 변수였다. 일반선형모델로 보정한 수술 후 척추체 높이와 Cobb 각도는 두 수술 그룹 간 유의한 차이를 보인 반면, 보정한 수술 후 압박율은 유의한 차이를 보이지 않았다 (p < 0.05). 뼈시멘트 분포는 척추체 성형술 군에서는 대부분이 spongy형태를 보였으나 (94.5%), 풍선 척추체 성형술 군에서는 42%로 낮았다. 높은 골밀도 (BMD) 수치와 진단 후 수술까지의 긴 기간은 뼈시멘트 누출을 증가시키는 위험 인자였다. 결론: 피스톤 방식 뼈시멘트 주입기를 이용한 척추체 성형술은 풍선 척추체 성형술과 대등한 압박율 복원 및 뼈시멘트 누출율을 보일 뿐 아니라, 대부분이 spongy 형태의 뼈시멘트 분포를 보여. 척추체 성형술과 풍선 척추체 성형술의 이점을 함께 보여주는 효과적인 치료 방법으로 생각된다.

ABSTRACT i TABLE OF CONTENTS iii LIST OF FIGURES iv LIST…

Advisors/Committee Members: 200624452, 양, 동훈.

Subjects/Keywords: vertebroplasty; kyphoplasty; bone filler; compression fracture; bone cement; 척추체 성형술; 풍선 척추체 성형술; 척추체 압박 골절; 뼈시멘트

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

양, . (2014). Effect of Vertebroplasty with Bone Filler Device and Comparison with Balloon Kyphoplasty. (Thesis). Ajou University. Retrieved from http://repository.ajou.ac.kr/handle/201003/10894 ; http://dcoll.ajou.ac.kr:9080/dcollection/jsp/common/DcLoOrgPer.jsp?sItemId=000000016384

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16th Edition):

양, 동훈. “Effect of Vertebroplasty with Bone Filler Device and Comparison with Balloon Kyphoplasty.” 2014. Thesis, Ajou University. Accessed October 15, 2019. http://repository.ajou.ac.kr/handle/201003/10894 ; http://dcoll.ajou.ac.kr:9080/dcollection/jsp/common/DcLoOrgPer.jsp?sItemId=000000016384.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7th Edition):

양, 동훈. “Effect of Vertebroplasty with Bone Filler Device and Comparison with Balloon Kyphoplasty.” 2014. Web. 15 Oct 2019.

Vancouver:

양 . Effect of Vertebroplasty with Bone Filler Device and Comparison with Balloon Kyphoplasty. [Internet] [Thesis]. Ajou University; 2014. [cited 2019 Oct 15]. Available from: http://repository.ajou.ac.kr/handle/201003/10894 ; http://dcoll.ajou.ac.kr:9080/dcollection/jsp/common/DcLoOrgPer.jsp?sItemId=000000016384.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

양 . Effect of Vertebroplasty with Bone Filler Device and Comparison with Balloon Kyphoplasty. [Thesis]. Ajou University; 2014. Available from: http://repository.ajou.ac.kr/handle/201003/10894 ; http://dcoll.ajou.ac.kr:9080/dcollection/jsp/common/DcLoOrgPer.jsp?sItemId=000000016384

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

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