Influence of radiofrequency kyphoplasty on pulmonary function

Influence of radiofrequency kyphoplasty on pulmonary function

Vertebral compression fractures (VCF) change the natural spinal alignment and inevitably lead to a decreased quality of life. The aim of the study was to evaluate changes in pulmonary function after VCF were treated by radiofrequency kyphoplasty (RF-TVA). Twenty-five patients were treated with RF-TV...

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Bibliographic Details
Published in:Technology and health care Vol. 25; no. 4; p. 761
Main Authors: Greven, Simon J, Bornemann, Rahel, Roessler, Philip P, Rommelspacher, Yorck, Frey, Sönke P, Jansen, Tom R, Sander, Kirsten, Wirtz, Dieter C, Pflugmacher, Robert
Format: Journal Article
Language:English
Published: Netherlands 09-08-2017
Subjects:
Aged
Aged, 80 and over
Disability Evaluation
Female
Fractures, Compression - surgery
Humans
Kyphoplasty - methods
Male
Middle Aged
Pain Measurement
Quality of Life
Radio Waves
Respiratory Function Tests
Spinal Fractures - surgery
PEF
pulmonary function
lung function
FEV
vertebral (compression) fracture
Radiofrequency kyphoplasty
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Summary:Vertebral compression fractures (VCF) change the natural spinal alignment and inevitably lead to a decreased quality of life. The aim of the study was to evaluate changes in pulmonary function after VCF were treated by radiofrequency kyphoplasty (RF-TVA). Twenty-five patients were treated with RF-TVA and analyzed in 3 subgroups taking into account the spinal location of the VCF. Pain as measured by visual analogue scale (VAS), Oswestry-Disability-Index (ODI), vertebral height, forced expiratory volume in 1 second (FEV1), and peak expiratory flow (PEF) were assessed before, directly after and 30 days after RF-TVA. The mean vertebral height was improved in all subgroups, with a minor reduction from one to 30 days postoperatively. The mean VAS and ODI significantly decreased in the main and upper diaphragm groups from baseline to the follow-up after 30 days. Patients treated below the main diaphragm region showed a significant improvement of ODI and a clear trend to significant improvements of VAS. PEF and FEV1 were significantly improved in the main diaphragm group. FEV1 also increased significantly in the upper diaphragm group with a clear trend to significance in the lower diaphragm group. Results indicate that RF-TVA may improve pulmonary function especially in cases where fractures are located in the main spinal region of the diaphragm.
ISSN:1878-7401
DOI:10.3233/THC-160488