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Statements

Subject Item
n2:RIV%2F00064173%3A_____%2F12%3A43906595%21RIV13-MZ0-00064173
rdf:type
n5:Vysledek skos:Concept
dcterms:description
The incidence of osteoporotic fractures is increasing with an ageing population. This has potential consequences for health services, patients and their families. Treatment of osteoporotic vertebral compression fractures (OVCFs) has been limited to non-surgical measures so far. The social and functional consequences of balloon kyphoplasty, a recent development for the treatment of VCF, were assessed in this cohort study. Data collected prospectively from 53 patients undergoing balloon kyphoplasty for symptomatic OVCF in our hospital's spinal unit were compared with data from an historical age-matched group of 51 consecutive patients treated conservatively for symptomatic OVCF. Social functionality was recorded prior to the injury, and at 6-month and 1-year follow-up; mortality was recorded at 6 months and 1 year. The mortality rate in the balloon kyphoplasty group was 11 % (6/53) at 1 year post-OVCF, versus 22 % (11/51) in the conservatively treated controls. A drift to a lower level of social functionality (defined by a lower level of independence) was observed at 1 year in 21 % of patients in the balloon kyphoplasty group versus 53 % of patients in the conservatively treated group. A drift to a lower level of independence was noted in 67 % of the conservatively treated patients who started at a lower level of functionality versus 20 % drift in a similar group who were treated with balloon kyphoplasty. The reduction in mortality and drift in social functionality at 1 year following treatment with balloon kyphoplasty suggests that it is a viable option for the management of OVCFs. The incidence of osteoporotic fractures is increasing with an ageing population. This has potential consequences for health services, patients and their families. Treatment of osteoporotic vertebral compression fractures (OVCFs) has been limited to non-surgical measures so far. The social and functional consequences of balloon kyphoplasty, a recent development for the treatment of VCF, were assessed in this cohort study. Data collected prospectively from 53 patients undergoing balloon kyphoplasty for symptomatic OVCF in our hospital's spinal unit were compared with data from an historical age-matched group of 51 consecutive patients treated conservatively for symptomatic OVCF. Social functionality was recorded prior to the injury, and at 6-month and 1-year follow-up; mortality was recorded at 6 months and 1 year. The mortality rate in the balloon kyphoplasty group was 11 % (6/53) at 1 year post-OVCF, versus 22 % (11/51) in the conservatively treated controls. A drift to a lower level of social functionality (defined by a lower level of independence) was observed at 1 year in 21 % of patients in the balloon kyphoplasty group versus 53 % of patients in the conservatively treated group. A drift to a lower level of independence was noted in 67 % of the conservatively treated patients who started at a lower level of functionality versus 20 % drift in a similar group who were treated with balloon kyphoplasty. The reduction in mortality and drift in social functionality at 1 year following treatment with balloon kyphoplasty suggests that it is a viable option for the management of OVCFs.
dcterms:title
Social implications of balloon kyphoplasty: prospective study from a single UK centre Social implications of balloon kyphoplasty: prospective study from a single UK centre
skos:prefLabel
Social implications of balloon kyphoplasty: prospective study from a single UK centre Social implications of balloon kyphoplasty: prospective study from a single UK centre
skos:notation
RIV/00064173:_____/12:43906595!RIV13-MZ0-00064173
n5:predkladatel
n18:ico%3A00064173
n3:aktivita
n17:N
n3:aktivity
N
n3:cisloPeriodika
9
n3:dodaniDat
n12:2013
n3:domaciTvurceVysledku
n15:4618203
n3:druhVysledku
n13:J
n3:duvernostUdaju
n11:S
n3:entitaPredkladatele
n8:predkladatel
n3:idSjednocenehoVysledku
168773
n3:idVysledku
RIV/00064173:_____/12:43906595
n3:jazykVysledku
n6:eng
n3:klicovaSlova
Vertebral compression fractures; Social function; Osteoporosis; Balloon kyphoplasty
n3:klicoveSlovo
n7:Osteoporosis n7:Social%20function n7:Balloon%20kyphoplasty n7:Vertebral%20compression%20fractures
n3:kodStatuVydavatele
US - Spojené státy americké
n3:kontrolniKodProRIV
[F6A6ED77704A]
n3:nazevZdroje
European Spine Journal
n3:obor
n14:FI
n3:pocetDomacichTvurcuVysledku
1
n3:pocetTvurcuVysledku
6
n3:rokUplatneniVysledku
n12:2012
n3:svazekPeriodika
21
n3:tvurceVysledku
Klézl, Zdeněk
n3:wos
000309237100024
s:issn
0940-6719
s:numberOfPages
7
n16:doi
10.1007/s00586-012-2262-7