Ilyuk R. Percutaneous balloon kyphoplasty in the treatment of patients with pain syndromes due to osteoporotic vertebral compression fractures

The dissertation is devoted to the study of the effectiveness of percutaneous balloon kyphoplasty in patients with osteoporotic vertebral compression fractures. The study is based on the study of the results of treatment of osteoporotic vertebral compression fractures in 109 patients with 168 fractured vertebrae with local pain. All patients initially get non-surgical treatment that included limited activity, pain medicines and orthoses. Patients were divided into 2 groups. The study group (group I) included 68 patients who underwent balloon kyphoplasty due to ineffective non-surgical treatment. The comparison group consisted of 41 patients (group II) who received non-surgical treatment only. The dynamics of pain syndrome and Oswestry disability index were studied and compared in clinical observation groups. Peculiarities of surgical interventions, spondyloreduction and its influence on local indicators of sagittal balance were studied, the dynamics of pain syndrome and functional status after balloon kyphoplasty depending on the number and degree of fractures, time of intervention were thoroughly studied in group I. Approaches to systematization of complications were specified and classification of extracorporeal distribution of bone cement was proposed, recommendations for complication prevention were offered. Basing on the comparison of clinical manifestations with the data of neuroimaging studies, the indications ad effectiveness of the minimally invasive operation of percutaneous balloon kyphoplasty in patients with osteoporotic vertebral compression fractures were proved.