Yonggang Li1, Yong Hai2, Liping Li1, Yi Feng3, Mingbo Wang4, Guanglei Cao5. 1. Department of Orthopaedics, Fuxing Hospital, Capital Medical University, Beijing, 100038, China. 2. Department of Orthopaedics, Beijing Chaoyang Hospital, Capital Medical University, No.8 Gongti Nan Road, Chaoyang District, Beijing, 100020, China. yonghaidoc@126.com. 3. Department of Orthopaedics, The Second Hospital of Shanxi Medical University, Taiyuan, 030001, China. 4. Department of Orthopaedics, The Second Affiliated Hospital of Inner Mongolia Medical University, Huhehaote, 010030, China. 5. Department of Orthopaedics, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China.
Abstract
OBJECTIVE: This study aims to assess the early effects of operatively and nonoperatively managed vertebral compression fractures (VCFs) in elderly polytrauma patients. METHODS: A multi-center retrospective cohort study of operative treatment [vertebroplasty (VP) or kyphoplasty (KP)] versus nonoperative treatment (bed rest). RESULTS: A total of 40 patients received operative treatment and 59 patients received nonoperative treatment. The mean length of hospital stay was 15.53 ± 6.994 days in the operative and 19.54 ± 12.012 days in the nonoperative group (P = 0.039). The incidence of complication was higher in the nonoperative group than the operative group (P = 0.009), especially the incidence of bed rest complication (P = 0.024). Mortality rate was not significant difference between two groups (P = 0.172). CONCLUSIONS: For VCFs in elderly polytrauma patients, VP or KP can reduce length of hospital stay and complications, especially bed rest complication compared with nonoperative treatment.
OBJECTIVE: This study aims to assess the early effects of operatively and nonoperatively managed vertebral compression fractures (VCFs) in elderly polytraumapatients. METHODS: A multi-center retrospective cohort study of operative treatment [vertebroplasty (VP) or kyphoplasty (KP)] versus nonoperative treatment (bed rest). RESULTS: A total of 40 patients received operative treatment and 59 patients received nonoperative treatment. The mean length of hospital stay was 15.53 ± 6.994 days in the operative and 19.54 ± 12.012 days in the nonoperative group (P = 0.039). The incidence of complication was higher in the nonoperative group than the operative group (P = 0.009), especially the incidence of bed rest complication (P = 0.024). Mortality rate was not significant difference between two groups (P = 0.172). CONCLUSIONS: For VCFs in elderly polytraumapatients, VP or KP can reduce length of hospital stay and complications, especially bed rest complication compared with nonoperative treatment.
Entities:
Keywords:
Elderly polytrauma; Vertebral compression fractures; Vertebroplasty or kyphoplasty