7 research outputs found
Kyphoplasty vs conservative treatment: a case-control study in 110 post-menopausal women population. Is kyphoplasty better than conservative treatment?
Abstract. – OBJECTIVE: Osteoporosis is a
highly prevalent disease worldwide. Consequences
of vertebral osteoporotic fractures include
pain and progressive vertebral collapse
resulting in spinal kyphosis, decreased quality
of life, disability and mortality. Minimally invasive
procedures represent an advance to the treatment
of osteoporotic VCFs. Despite encouraging
results reported by many authors, surgical intervention
in an osteoporotic spine is fraught with
difficulties. Advanced patients age and comorbidities
are of great concern.
PATIENTS AND METHODS: We designed a
retrospective case-control study on 110 postmenopausal
women consecutively visited at our
institution. Study population was split in a surgical
and a conservative cohort, according to the
provided treatment.
RESULTS: Kyphoplasty treated patients had
lower back pain VAS scores at 1 month as compared
with conservatively treated patients (p <
0.05). EQ5D validated questionnaire also showed
a better quality of life at 1 month for surgically
treated patients (p < 0.05). SF-12 scores showed
greater improvements at 1 month and 3 months
with statistically significant difference between
the two groups just at 3 months (p < 0.05). At 12
months, scores from all scales were not statistically
different between the two cohorts, although
surgically treated patients showed better trends
than conservatively treated patients in pain and
quality of life. Kyphoplasty was able to restore
more than 54.55% of the original segmental
kyphosis, whereas patients in conservative cohort
lost 6.67% of the original segmental kyphosis
on average.
CONCLUSIONS: Kyphoplasty is a modern
minimal invasive surgery, allowing faster recovery
than bracing treatment. It can avoid the deformity
in kyphosis due to VCF. In fact, the risk
to develop a new vertebral fracture after the first
one is very high
Erratum to “Minimally Invasive Treatment of the Thoracic Spine Disease: Completely Percutaneous and Hybrid Approaches”
Medical and surgical treatment of pyogenic spondylodiscitis.
BACKGROUND: Pyogenic vertebral osteomyelitis (PVO) represents approximately 2-7% of all cases of osteomyelitis. The approach to the treatment of PVO may be conservative, which includes antibiotic therapy and orthopaedic treatment, or surgical.
AIM: To overview conservative and surigical approaches to PVO.
METHODS: A literature review was performed using the Pubmed database to identify studies published in the last 20 years, addressing the treatment of PVO.
RESULTS: Empirical antibiotic treatment of PVO, while waiting for the results of cultures or in culture-negative cases, should include broad spectrum agents in association with agents active on Staphylococcus (S.) aureus. Based on local epidemiological data, antibiotics active on methicillin resistant S. aureus (MRSA) should be included. Once an organism has been identified, antibiotics should be initially administered intravenously but the optimal duration of antimicrobial therapy is unclear. Studies have reported that the incidence of treatment failure was higher when i.v. therapy was administered for less than 4 weeks. Rifampin is widely used in the combination therapy of PVO, but no controlled trials are available to define weather this approach is beneficial. Many PVO need a surgical treatment and can represent a real challenge for the orthopaedic surgeon. Anterior and posterior cervical, thoracic, lumbar approaches and the relatives surgical strategies are reported in this review. Moreover, recently the mininvasive posterior stabilization have been proposed as a efficient alternative to open surgery in elderly with severe comorbidities. Possible advantages and limitations of this technique are also reported.
CONCLUSIONS: Further research is needed in order to define the optimal duration of antibiotic therapy, and the benefits and limitations of open or mini-invasive surgical techniques
Paracetamol-codeine compared to ketorolac for pain control in the Emergency Department
Paracetamol /codeine has shown a strong analgesic activity in several studies conducted among different kind of subjects, including those with trauma. Nevertheless, its efficacy in patients accessing the Emergency Department (ED) for different kind of pain has never been tested
Cauda equina syndrome and spine manipulation: case report and review of the literature
Cauda equina syndrome seems to be a very rare complication of spinal manipulations. Only few cases, in fact, were referred in literature in the past decades. Most of them are very old and poorly documented evoking doubts about the pathogenetic relationship between the spinal maneuvers and the onset of the syndrome. We observed and treated a 42-year-old patient who complained a rapid onset of saddle hypoparesthesia and urine retention only a few hours after the spinal manipulation performed for L5-S1 herniated disc. The comparison of the two following MRIs performed before and after the manipulations seems to prove a close pathogenetic relationship. The patient was operated soon after the admission to our emergency department and 1Â year later he referred an incomplete recovery of the syndrome. The case offered the opportunity to update the literature. The review revealed only three cases from the beginning of the current century that confirm the rarity of the syndrome. Based on the data emerging from the official literature, safety of the manipulations and its pathogenetic aspects in causing lumbar radiculopathies are discussed
Paracetamol-codeine compared to ketorolac for pain control in the Emergency Department
Paracetamol /codeine has shown a strong analgesic activity in several studies conducted among different kind of subjects, including those with trauma. Nevertheless, its efficacy in patients accessing the Emergency Department (ED) for different kind of pain has never been tested