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- Title
Influence of radiofrequency kyphoplasty on pulmonary function.
- Authors
Greven, Simon J.; Bornemann, Rahel; Roessler, Philip P.; Rommelspacher, Yorck; Frey, Sönke P.; Jansen, Tom R.; Sander, Kirsten; Wirtz, Dieter C.; Pflugmacher, Robert
- Abstract
<bold>Background: </bold>Vertebral compression fractures (VCF) change the natural spinal alignment and inevitably lead to a decreased quality of life.<bold>Objective: </bold>The aim of the study was to evaluate changes in pulmonary function after VCF were treated by radiofrequency kyphoplasty (RF-TVA).<bold>Methods: </bold>Twenty-five patients were treated with RF-TVA and analyzed in 3 subgroups taking into account the spinal location of the VCF. Pain as measured by visual analogue scale (VAS), Oswestry-Disability-Index (ODI), vertebral height, forced expiratory volume in 1 second (FEV1), and peak expiratory flow (PEF) were assessed before, directly after and 30 days after RF-TVA.<bold>Results: </bold>The mean vertebral height was improved in all subgroups, with a minor reduction from one to 30 days postoperatively. The mean VAS and ODI significantly decreased in the main and upper diaphragm groups from baseline to the follow-up after 30 days. Patients treated below the main diaphragm region showed a significant improvement of ODI and a clear trend to significant improvements of VAS. PEF and FEV1 were significantly improved in the main diaphragm group. FEV1 also increased significantly in the upper diaphragm group with a clear trend to significance in the lower diaphragm group.<bold>Conclusions: </bold>Results indicate that RF-TVA may improve pulmonary function especially in cases where fractures are located in the main spinal region of the diaphragm.
- Subjects
VERTEBRAE injuries; SPINAL adjustment; QUALITY of life; RADIO frequency; DIAPHRAGM (Anatomy); PULMONARY function tests; FUNCTIONAL assessment; BONE fractures; QUESTIONNAIRES; RADIO waves; SPINAL injuries; PAIN measurement; COMPRESSION fractures
- Publication
Technology & Health Care, 2017, Vol 25, Issue 4, p761
- ISSN
0928-7329
- Publication type
journal article
- DOI
10.3233/THC-160488