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Japanese Journal of Radiology

, Volume 37, Issue 2, pp 178–185 | Cite as

The safety and efficacy of percutaneous vertebroplasty for patients over 90 years old

  • Shunsuke Kamei
  • Tomoyuki NoguchiEmail author
  • Yoshitaka Shida
  • Takashi Okafuji
  • Kota Yokoyama
  • Fumiya Uchiyama
  • Hiroshi Nakatake
  • Tsuyoshi Tajima
Original Article
  • 35 Downloads

Abstract

Objective

To retrospectively analyze the safety and efficacy of percutaneous vertebroplasty (PVP) for patients aged 90 or over.

Materials and methods

We analyzed 130 consecutive patients with osteoporotic vertebral fractures who underwent a first-time PVP between May 2015 and September 2017 at our institution. We divided them into the elder patient group aged 90 years or over (n = 21) and the younger patient group under 90 years (n = 109). We compared the two groups’ background, treatments, and outcomes using univariate analyzes and the log rank test.

Results

A significant difference was observed in dementia (19% in the younger group vs. 48% in the elder group, p < 0.01). No significant difference was revealed in the procedure time or the rate of complications. The post-PVP mobility function and the pain level were significantly improved compared to before PVP in both groups (p < 0.01 each). No significant differences were observed between the two groups in the recurrence of vertebral fracture after treatment (17% vs. 14%) or the 1-year survival rate (79% vs. 86%), respectively.

Conclusion

The results of our analyzes suggested that a PVP can safely and effectively contribute to pain relief as well as the restoration of ambulation for patients aged 90 or over.

Keywords

Vertebroplasty Elderly patient Decubitus position Prophylactic treatment 

Notes

Acknowledgements

This work was partly supported by a Grant-in-Aid for Scientific Research of the Japan Society for the Promotion of Science and Grants-in-Aid for Research from the National Center for Global Health and Medicine.

Funding

This work was supported in part by Grants-in-Aid for Research from the National Center for Global Health and Medicine (28A5003) and Grants-in-Aid for Scientific Research from Japan society for the promotion of science (16K10333).

Compliance with ethical standards

Conflict of interest

We wish to confirm that there are no known conflicts of interest associated with this publication, and there has been no significant financial support for this work that could have influenced its outcome.

Ethical statement

This study was approved by our hospital’s institutional review board, which waived the need for written informed consent from the patients in light of the retrospective study design.

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Copyright information

© Japan Radiological Society 2018

Authors and Affiliations

  • Shunsuke Kamei
    • 1
  • Tomoyuki Noguchi
    • 1
    Email author
  • Yoshitaka Shida
    • 1
  • Takashi Okafuji
    • 1
  • Kota Yokoyama
    • 1
  • Fumiya Uchiyama
    • 1
  • Hiroshi Nakatake
    • 1
  • Tsuyoshi Tajima
    • 1
  1. 1.Department of RadiologyNational Center for Global Health and MedicineTokyoJapan

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