Puncture vertebroplasty of patients with noncomplicated compression fractures of vertebral bodies against the background of systemic osteoporosis

When it came to treatment of patients with noncomplicated compression fractures of vertebral bodies against the background of osteoporosis, doctors always were faced with the following choice: to carry out conservative therapy within not less than 4 months or to perform an open surgery. Neither method would fully solve the problems put by. The turning point in treatment tactics took place in 1984 after introduction of puncture vertebroplasty. The first results of surgeries have shown that introduction of bone cement into the vertebral body allows to restore its supportability, promotes faster consolidation of fracture, prevents further increase of compression stage, provides good anesthetic effect. However until the present time a number of issues remained, which required immediate study and analysis of the received results.

In the Clinic of Neurosurgery of Military Medical Academy, in the period from 2003 to 2007,59 patients underwent surgery, 111 vertebroplasties have been performed. The modern algorithm of diagnostics and treatment of patients with compression fractures of vertebral bodies against the background of osteoporosis has been developed, indications and contraindications of application of vertebroplasty at this pathology have been formed, economic justification of the osteoplasty method with the patients of similar profile has been drawn up. This method allowed to reduce the duration of stay of patients in the hospital to 2. 5 days, to reduce the level of complications, in 93% regression of pain and muscle-tonic syndrome was observed within six months after the surgery.