Spine
Seyyed Mohammad Jalil Abrisham, MD; Mohammad Reza Sobhan; Aboozar Emami
Abstract
Background: Percutaneous vertebroplasty as an effective and relatively new treatment can strengthen broken vertebrae and reduce the pain of osteoporotic fractures. The Present study was conducted to assess the results of such treatment in osteoporotic vertebral fractures.Methods: In the present study, ...
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Background: Percutaneous vertebroplasty as an effective and relatively new treatment can strengthen broken vertebrae and reduce the pain of osteoporotic fractures. The Present study was conducted to assess the results of such treatment in osteoporotic vertebral fractures.Methods: In the present study, all the patients with osteoporotic vertebral fractures, having undergone vertebroplasty were studied by VAS before and after vertebroplasty. Complications after vertebroplasty (infection, nerve lesion, extra vertebrae cement leakage, cement-to-lung leakage and adjacent vertebrae fracture) were documented. Statistical data were entered into SPSS statistical software version 24 and statistical analysis was performed using Chi-square and independent t-tests.Results: Of the 40 evaluated cases, 10 (25%) were male and 30 (75%) females. The mean age of patients was 76.26 years. The mean of Visual Analogue Scale before vertebroplasty was 8.06, and after vertebroplasty was 1.34. The observed side effect was extra vertebrae leakage of cement, which was observed in eight cases (16%). No case of infection, nerve damage, and cement leakage into the lung or adjacent vertebral fracture was observed. Based on the analytical evaluation, there was no statistically significant difference between the mean of Visual Analogue Scale before vertebroplasty considering gender (P = 0.485) and age (P = 0.134). In addition, there was no significant difference between the mean of Visual Analogue Scale after vertebroplasty considering gender (P = 0.325) and age (P = 0.809). However, the mean of Visual Analogue Scale after vertebroplasty had a significant reduction in comparison to before vertebroplasty (P=0.0001). The second lumbar vertebra has been the most commonly involved vertebra.Conclusion: Based on observed results, percutaneous vertebroplasty can reduce the severity of pain in patients with osteoporotic vertebral fractures.
Mohammadreza sobhan Ardakani; seyed Mohammad Jalil Abrisham; Marjan Zeinali; Hamid Rabie
Abstract
Background: The knee joint is one of the most important joints of the body that is affected by various diseases. Osteoarthritis is the most common disease involving the knee and causes symptoms including pain, swelling, limited mobility and disability. Several therapeutic approaches, including drug therapy, ...
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Background: The knee joint is one of the most important joints of the body that is affected by various diseases. Osteoarthritis is the most common disease involving the knee and causes symptoms including pain, swelling, limited mobility and disability. Several therapeutic approaches, including drug therapy, physiotherapy, and surgical treatments such as arthroscopic debridement and knee replacement have been used for this disease. Knee replacement is one of the most effective treatments for this disease.
Method: In a clinical trial and prospective study, 57 patients who underwent knee replacement surgery at Yazd Shahid Sadoughi Hospital in 2016, were evaluated. All patients were examined before and after the surgery, and the VAS, WOMAC, KSS, and SF-36 questionnaires were completed. Also, postoperative radiography was analyzed using KSRE form.
Results: Of the 57 patients studied, 51 were female and 6 were male. The mean age of the patients was 65.32 years. Patients have been evaluated on average 7.31 months after the operation. Based on the KSS form, the mean" Function score" of patients' increased from 15.27 ± 24.03 before surgery to 69.96 ± 8.93 after surgery, and the mean "Knee score" of patients increased from 7.58 ± 40.43 before surgery to 82.38 ± 7.03 after surgery. The mean score of WOMAC decreased from 69.02 ± 11.02 before surgery to 25.73 ± 5.92 and the pain score in patients was decreased from 8.89±0.77 before surgery to 1.54±1.00 after surgery. The mean scores of SF-36 quality of life questionnaire increased from 45.75±18.85 before surgery to 65.26±17.86 after surgery. In the study of postoperative imaging, the mean alpha angle was 97.8 ± 0.98, the mean beta angle was 89.7 ± 1.11, the mean gamma angle was 2.57±1.62 and the mean delta angle was 86.38 ± 0.81.
Conclusion: Due to the significant improvement in pain, WOMA score, function score, knee score, range of motion and improvement in the quality of life, knee replacement surgery is an effective and curative treatment for osteoarthritis of the knee.
