RT Journal Article
SR Electronic
T1 EP092 A prospective evaluation of percutaneous vertebroplasty in osteoporotic vertebral compression fracture patients
JF Regional Anesthesia & Pain Medicine
JO Reg Anesth Pain Med
FD BMJ Publishing Group Ltd
SP A89
OP A89
DO 10.1136/rapm-2023-ESRA.154
VO 48
IS Suppl 1
A1 Rastogi, Shivani
A1 Latin, Yasum
A1 Agrawal, Anurag
A1 Mishra, Shilpi
YR 2023
UL http://rapm.bmj.com/content/48/Suppl_1/A89.1.abstract
AB Background and Aims Osteoporotic vertebral compression fracture (OVCF) is a problem causing incapicating pain, disability and mortality. Percutaneous Vertebroplasty (PVP), a minimally invasive procedure, has resulted in immediate pain relief with decreased morbidity. Primary aim was to evaluate the quality of life (QOL) by the RMDQ (Roland- Morris disability questionnaire) Score and pain relief by 11 points NPRS (Numeric Pain Rating Scale) and vertebral height restoration and Wedge angle measurements after Percutaneous Vertebroplasty (PVP)Methods This prospective longitudinal interventional study was conducted on patients with low back pain due to OVCF. These patients were managed by PVP and followed at one week, one , three and six months for improvement in quality of life (QOL) by RMDQ Score and pain relief using the NPR scale. The pre and post-vertebroplasty wedge angle and vertebral height at one week and six months were also compared by pre and post-vertebroplasty lateral view skiagrams.Twenty-four patients were included The RMDQ score showed a statistically significant difference in post-PVP at one week (p=0.044), one (p=0.031), three (p=0.022), and six months (p=0.018). There was a statistically significant difference in the NPRS at six months showing drastic pain relief after PVP. The mean wedge angle (20.5±2.07) measurement was reduced with a statistically significant increase in anterior body height restoration from pre-PVP to six months. There was no significant change in height at the middle and posterior columns compared to Pre-PVP height.Conclusions PVP is safe, minimally invasive pain intervention (MIPSI) for OVCF with improved QOL and restoration of vertebral height.