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Improvement in respiratory function after vertebroplasty and kyphoplasty

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Abstract

Our objective was to study the changes in respiratory function of patients with osteoporotic vertebral compression fractures (OVCFs) after vertebroplasty and kyphoplasty. Thoracic kyphotic angle, local kyphotic angle, pain scores and pulmonary function parameters were measured in 38 older women with OVCFs before, three days after and three months after operation. Vital capacity, forced vital capacity and maximum voluntary ventilation significantly increased three days after operation (P < 0.01), but only maximum voluntary ventilation went on to improve three months later (P < 0.01); the thoracic kyphotic angle had a significantly negative correlation with vital capacity (vertebroplasty: r = −0.832; kyphoplasty: r = −0.546). In thoracic subgroups, the improvement of the local kyphotic angle and vital capacity had a remarkably positive correlation (vertebroplasty: r = 0.778; kyphoplasty: r = 0.637), and kyphoplasty could improve vital capacity more than vertebroplasty (P < 0.01). Vertebroplasty and kyphoplasty improve the lung function impaired by OVCFs, and kyphoplasty has a better effect in improving vital capacity for thoracic OVCFs.

Résumé

Le but de cette étude est d'étudier les modifications des fonctions respiratoires chez les patients ostéoporotique présentant une fracture vertébrale en compression (OVCF) après vertébroplastie et kyphoplastie. Matériel et méthode : l'angle de cyphose thoracique, l'angle de cyphose au niveau du foyer de fracture, le score douleur, les fonctions pulmonaires ont été analysés chez 38 patientes âgées présentant une fracture de type OVCF et ceci avant l'intervention, trois jours et enfin trois mois après l'intervention. Résultat : la capacité vitale, et la ventilation ont été améliorées de façon significative 3 jours après l'intervention (p < 0,01), la cyphose thoracique a également une corrélation significativement négative avec la capacité vitale (vertébroplastie r =B-0,832, kyphoplastie r = −0,546). Dans le sous groupe des fractures dorsales l'amélioration de l'angle cyphotique fracturaire et la capacité vitale sont positivement corrélés (vertébroplastie r = 0,778 et kyphoplastie r = 0,637), la vertébroplastie et la kyphoplastie améliorent les fonctions pulmonaires de ce type de fracture. La kyphoplastie a un meilleur effet sur la capacité vitale pour les fractures localisées au niveau du râchis thoracique.

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Acknowledgements

We thank Zhu RongMei of the Pulmonary Function Laboratory for help in respiratory function measurement. We thank Guo Liang, Shen Hailin of the Department of Radiology for help with taking X-ray films and measurements. We also thank Xie Lingjiao for her help with data management.

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Correspondence to Liang Chen.

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Dong, R., Chen, L., Gu, Y. et al. Improvement in respiratory function after vertebroplasty and kyphoplasty. International Orthopaedics (SICOT) 33, 1689–1694 (2009). https://doi.org/10.1007/s00264-008-0680-2

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  • DOI: https://doi.org/10.1007/s00264-008-0680-2

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