• Yonggang Li, Yong Hai, Liping Li, Yi Feng, Mingbo Wang, and Guanglei Cao.
• Department of Orthopaedics, Fuxing Hospital, Capital Medical University, Beijing, 100038, China.
• Arch Orthop Trauma Surg. 2015 Dec 1; 135 (12): 1633-6.

ObjectiveThis study aims to assess the early effects of operatively and nonoperatively managed vertebral compression fractures (VCFs) in elderly polytrauma patients.MethodsA multi-center retrospective cohort study of operative treatment [vertebroplasty (VP) or kyphoplasty (KP)] versus nonoperative treatment (bed rest).ResultsA 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).ConclusionsFor VCFs in elderly polytrauma patients, VP or KP can reduce length of hospital stay and complications, especially bed rest complication compared with nonoperative treatment.

23 keywords...

hide…