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Yayın Patient-centered outcomes of vertebroplasty via questionnaire(Galenos, 2019) Karaca, Sinan; Erdem, Mehmet NuriPurpose: Our aim was to evaluate patient centred outcomes of patients with compression fractures treated by vertebroplasty. Methods: Patients with compression fractures treated by vertebroplasty procedure between 2013- 2016 was examined with a 3-question through telephone call. Results: Fifty-two patients completed the telephone satisfaction survey. Of these, 92.5 % of answerers said the procedure was acceptable, 86.5% had full or partial pain remission and 78.8 % would have the procedure again. Conclusions: The use of vertebroplasty is supported by randomized trials in osteoporotic and malignant compression fractures. To the results of our study, patients believe vertebroplasty is a tolerable procedure that produces full or partial pain remission and would try the same procedure again if needed.Yayın A Comparison of high viscosity and low viscosity bone cement vertebroplasty for severe osteoporotic vertebral compression fractures(Galenos, 2019-01) Karaca, Sinan; Öztermeli, Ahmet; Akpolat, Ahmet Onur; Erdem, Mehmet Nuri; Aydoğan, MehmetIntroduction: Our aim in this clinical trial was to compare the safety and efficacy of highviscosity cement (HVC) with low-viscosity cement (LVC) for the treatment of osteoporotic vertebrae fractures in terms of pain, functional capacity and cement leakage in the percutaneous vertebroplasty procedure (PVP). Methods: From March 2013 to February 2015, 76 patients with vertebrae compression fracture who were admitted into hospital and treated with PVP were reviewed. Pre- and postoperative clinical characteristics of each patient were obtained by using The Visual Analog Scale (VAS) score to evaluate back pain, Oswestry Disability Index (ODI) as a functional assessment. Cement leakage,injected cement volume and the complications assessed due to medical records. Results: VAS and ODI scores improved (P<0.05) significantly in the two groups postoperatively on the other hand there was no significant change between two groups (P>0.05).Paravertebral cement leakage was significantly higher in the LVC group (P<0.05). Pulmonary cement embolism was also significantly higher in LVC group (P<0.05). Conclusion: HVC had lower complication rates with similar clinical results in the comparison with LVC.Yayın Evaluation of satisfaction with a questionnaire according to fracture level and fracture type of patients who underwent balloon kyphoplasty(Galenos Publishing House, 2022-04) Kültür, Yiğit; Bal, Emre; Erdem, Mehmet Nuri; Tezer, MehmetObjective: The aim of this study is to better understand which type of fracture and localization have more painful or worse outcomes for the kyphoplasty procedure. Materials and Methods: Kyphoplasty cases operated between 2013 and 2018 were included in the study. The patients were contacted through the numbers registered in the hospital system. A questionnaire were asked to the patients. Patients were grouped according to gender, fracture level (T12-L1 and others) and fracture type (Osteoporotic, trauma, malignancy, unknown). Results: Fourty-one patients were included in the study. Three-quarters of the patients were women and average age was 62. Ninety-two percent of the patients stated that the pain of the procedure was tolerable. Seventy percent reported that their pain decreased after the procedure and 75% of the patients stated that they could have this procedure done again. Pain reduction and the desire to have same surgery again were significantly higher in female patients than in the male group (p<0.05). In the T12-L1 group and osteoporotic fracture group, the procedure was more easily tolerated, the pain was relieved more and the desire to have the same surgery was higher (p<0.05). Conclusion: Kyphoplasty is accepted as an operation that is well tolerated by patients and has good pain relief. Additionally more detailed information was obtained about the patient’s complaints after the kyphoplasty procedure, according to the fracture level and type.
