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Spineoplasty 2007

Interventional Spine

None Beall, MD

Scientific Paper

Purpose

To investigate vertebral reconstruction with allograft bone as a procedure and to assess its ability to decrease pain, reduce fractures, assess graft size and the effect on the patient's pain medication.

Methods & Materials

A total of eleven patients were enrolled, five female and six male, with fractures from T11 to L5 who were treated with vertebral augmentation with allograft bone (Spineoplasty) between October 2005 and May 2006. Patient follow-up included post-op day one, 2 weeks, 3 months, and 6 months. Two patients were lost to follow up and three patients are currently in follow up.

Results

The patient's pain scores (VAS) decreased from 43 to 22 and (ODI) from 40% to 21%. An average fracture reduction of 36% was noted with a range varying from 13-59%. An average amount of 8.6 cc's of bone graft was placed into the vertebral body. Sixty-six percent of patients discontinued their narcotics and thirty-four percent continued on pain medications at the end of the study. There were no complications or adverse events.

Conclusion

Vertebral augmentation with allograft bone (Spineoplasty) is safe and effective for the treatment of vertebral compression fractures in terms of decreasing pain, reducing the vertebral fracture, and in reducing the patient's need for pain medication. A larger and more extensive evaluation may be helpful to more accurately characterize the effectiveness of this technique.

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