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Vertebroplasty Can Reduce Pain and Improve Mobility 2003

Oka M, Westesson PL.
University of Rochester
Rochester, NY

Purpose:
To study effect of vertebroplasty on pain and mobility.

Methods:
We examined 36 patients before and after vertebroplasty with respect to pain, use of pain medication and mobility. The mean follow up was 5.3 months with a range of 1 week to 2 years. There were 51 vertebroplasties performed on these patients. We graded pain as no pain (0), minimal (1), mild (2), intermediate (3), moderate (4), severe (5) or extreme (6), use of pain medication as none (0), NSAID (1), oral narcotics as needed (2), oral narcotics scheduled (3) or parental narcotics (4), and mobility as ambulatory (1), ambulatory with assistance (2), wheelchair (3) or bedridden (4). The results of the procedures were classified as successful (no, minimal or mild residual pain), improved (decrease pain but more than mild residual pain) or failure (worse or no change in pain score).

Results:
Thirty-seven of the 51 procedures (72.5%) were successful. Eleven (21.6%) showed improvement and three (5.9%) were failures. On the average, pain score decreased from 4.7 to 1.6, pain medication score from 2.7 to 1.2 and mobility score from 2.4 to 1.6.(p<0.0001) There were twelve bedridden patients before the procedure that decreased to four at follow up.

Conclusions:
Vertebroplasty for painful vertebral fracture reduces pain and improve mobility.