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Purpose: The Investigational VertebroplastyEfficacy and Safety Trial INVEST, a randomized blinded controlled study of Vertebroplasty,demonstrated similar improvements in pain between blinded Vertebroplasty andsham-Vertebroplasty groups. The result from the RCT study suggested that theobserved efficacy of the Vertebroplastyprocedure, instead of representing the cement-mediated reduction in pain, mayrelate to the vertebral bone drilling perse. The aim of this study was to demonstrate the effectiveness of pain reliefof vertebral bone drilling at the site of painful osteoporotic vertebralcompression fractures in the acute phase. Materials and Methods: Twenty-sixpatients with painful osteoporotic compression fractures underwent thevertebral bone drilling. We assessed primary outcome measures in the NRS painscore and RDQ score at day 0and 3 following the drilling. Comparisonswere made by using Wilcoxon signed rank test. Results: The mean baseline NRSand RDQ score, and the mean NRS and RDQ score at day 3 were 7.3 ± 1.2, 15.7 ±4.2, 4.6 ± 1.4, 7.3 ± 2.2, respectively. Among the patients, we detected significant improvements in NRS painscore and RDQ score at day 3 following the drilling compared with day 0 P < 0.001. Conclusion: Vertebralbone drilling at the site of painful vertebralcompression fractures alleviated the intractable pain due to osteoporoticvertebral compression fractures.

KEYWORDS

Vertebral Bone Drilling; Osteoporosis; Vertebral Compression Fractures; Acute Pain; Vertebroplasty

Cite this paper

K. Ota and S. Iwasaki -Vertebral Bone Drilling Puncture Attenuates the Acute Pain Due to Vertebral Compression Fractures,- Open Journal of Anesthesiology, Vol. 4 No. 2, 2014, pp. 46-49. doi: 10.4236-ojanes.2014.42007.





Autor: Koichi Ota, Sosi Iwasaki

Fuente: http://www.scirp.org/



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