Osteoporotic Vertebral Compression Fractures: Can Kyphoplasty Improve Lung Function? A Prospective Evaluation
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Purpose
Patients with vertebral fractures often have problems to straighten and as a consequence of impaired lung ventilation that leads to a impaired lung function. Furthermore, it comes to the sintering of the vertebra and a so-called hunchback. This also contributes to the poorer expansion of the lung. Pain is also caused by respiratory excursions of the chest which hinder the patients to use their entire lung volume.
Kyphoplasty is designed to counter all these consequences of vertebral fractures by bringing stability to the fracture.
In order to prove the thesis the results of lung function test (FEV1, PEF) are assessed.
| Condition | Intervention |
|---|---|
|
Osteoporotic Vertebral Compression Fractures Lung Function |
Procedure: Radiofrequency Kyphoplasty |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | Osteoporotic Vertebral Compression Fractures: Can Kyphoplasty Improve Lung Function? A Prospective Evaluation |
| Estimated Enrollment: | 30 |
| Study Start Date: | May 2012 |
| Groups/Cohorts | Assigned Interventions |
|---|---|
|
Patient with vertebral compression fracture
RF kyphoplasty is standard of care in our hospital for patients with osteoporortic compression fractures. We are intersetd, if it also can improve the lung function.
|
Procedure: Radiofrequency Kyphoplasty
Radiofrequency kyphoplasty is a new form of surgical treatment. It injects an ultrahigh viscosity cement into the fractured vertebral body, using radiofrequency to achieve the proper consistency of the cement. This ultrahigh viscosity cement is designed to first restore proper height and alignment to the fractured vertebra and then to stabilize the fracture, thereby preventing further intravertebral motion and reducing pain. The RF-Kyphoplasty is standard of care in our hospital. It is FDA and CE approved. Other Name: RF-Kyphoplasty
|
Eligibility| Ages Eligible for Study: | 50 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Patients with osteoporotic compression fractures, mostly elderly females
Inclusion Criteria:
- over 50 years
- VAS over 49, ODI over 29
- radiographic evidence of A 1.1, 1.2, 1.3 fractures
- patients mentally capable to sign informed consent
Exclusion Criteria:
- high-energy trauma
- known tumor involvement
- osteonecrotic fractures
- burst fractures or pedicle fractures
- previous surgical treatment for a vertebral body compression fracture
- patient has paget's disease
- BMI > 35
- uncontrolled diabetes HbAc1c > 7%
- severe cardiopulmonary disease
- Myelopathy
- long-time steroid therapy
Contacts and Locations| Contact: Robert Pflugmacher, M.D. | +4915158233263 | robert.pflugmacher@googlemail.com |
| Contact: Rahel Bornemann | +49-160-2535164 | rahel.bornemann@googlemail.com |
| Germany | |
| Orthopädie und Unfallchirurgie Universitätsklinikum Bonn | Recruiting |
| Bonn, NRW, Germany, 53127 | |
| Contact: Robert Pflugmacher, M.D. +49-151-58233263 robert.pflugmacher@googlemail.com | |
| Principal Investigator: | Robert Pflugmacher, M.D. | Orthopädie und Unfallchirurgie, Universitätsklinkum Bonn |
More Information
No publications provided
| Responsible Party: | Robert Pflugmacher, PD Dr. med., University Hospital, Bonn |
| ClinicalTrials.gov Identifier: | NCT01609712 History of Changes |
| Other Study ID Numbers: | B-O-P-LF-01, B-O-P-LF-02 |
| Study First Received: | May 29, 2012 |
| Last Updated: | June 3, 2012 |
| Health Authority: | Germany: Ethics Commission |
Keywords provided by University Hospital, Bonn:
|
Improvement of lung function (FEV1, PEF) Visual Analog Scale Oswestry Disability Index Radiographs pre and post Op |
Additional relevant MeSH terms:
|
Fractures, Bone Fractures, Compression Wounds and Injuries |
ClinicalTrials.gov processed this record on May 16, 2013