Postrual Reduction With Pillow in Osteoporotic Vertebral Fracture

Taipei Veterans General Hospital

Status: Unknown

Conditions: Compression Fracture Spine; Osteoporosis Fracture

Treatments: Other: Pillow

Study type: Interventional

Funder types: Other

Identifiers

NCT03451305

2017-05-005C

Details and patient eligibility

About

Vertebroplasty in the symptomatic osteoporotic vertebral fracture has become increasingly popular. However, there have been some limitations in restoring the height of the collapsed vertebrae and in preventing the leaking of cement. In the severely collapsed vertebrae of more than two thirds of their original height, vertebroplasty is regarded as a contraindication. We tried postural reduction using a soft pillow under the compressed level. This study was undertaken to investigate the effectiveness of the combination of postural reduction and vertebroplasty for re-expansion and stabilization of the osteoporotic vertebral fractures. single level vertebral compression fracture were treated with postural reduction followed by vertebroplasty. We analyzed the degree of re-expansion according to the onset duration.

Enrollment: 120 estimated patients

Sex: All

Ages: 60+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Single level osteoporotic compression fracture of thoracic and lumbar spine

Exclusion criteria

• Can't tolerate the postural reduction by pillow
• Pathological spine fracture caused by tumor, infection.
• Multiple spine fractures
• Patient presented with neurological. deficits

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Single Group Assignment

Masking: Single Blind

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120 participants in 2 patient groups

Pillow group

Experimental group

Description:

Before surgery, with the patient lying in the supine position, a soft pillow was placed under the segment of the collapsed vertebrae, which resulted in a hyperextension position. 12 hours duration suggested from 11:00 pm 1 night before the surgery till next day.

Treatment:

Other: Pillow

No pillow group

No Intervention group

Description:

No intervention was given in this group before surgery.