Vertebroplastika otvorenim pristupom u liječenju patoloških kompresijkih prijelomakralježaka uzrokovanih metastatskim tumorskim tvorbama i smanjenje bolnogsindroma

Objectives: The aim of this study was to examine the efficacy of the operative procedure, openvertebroplasty, by comparing and evaluating the clinical results before and after open vertebroplasty in thetreatment of vertebral fractures with spinal canal compression. Success of the surgery is defined byincreased or reduced pain intensity before and after the treatment, as assessed using the Visual AnalogueScale (VAS).Participants and methods: Data for the patients treated for vertebral fractures with open vertebroplastywere retrospectively collected at the Institute for Orthopaedics of the Clinical Hospital Centre Osijek. Theanalyzed data included: gender, duration of the illness, the intensity of pain before and after the treatment(using the VAS), neurological status, radiological changes of the treated vertebral segment, before and afterthe treatment, grade of vertebral fracture, and extracorporeal cement leakage from the vertebra body to thesurrounding tissue during the procedure.Results: The study included 23 patients, of whom 13 were females and ten were males. The differencein pain before and after the surgery was statistically significant. All the patients complained of pain beforethe surgery, and the pain intensity median was 8 (interquartile range 7, 5 to 9). However, after the surgery,pain intensity decreased in all the patients, and the pain intensity median was 2.5 (interquartile range 2 to3).Conclusion: Improvement in clinical results of the treatment of vertebral metastatic fractures withspinal stenosis with open vertebroplasty proves to be significant.