Abstract
Introduction
To evaluate the effect of preoperative prone position exercises(PPPE) on patient tolerance to percutaneous kyphoplasty(KP) and to determine if such exercises will improve postoperative clinical outcome.
Material and Methods
Eighty-three patients with single level osteoporotic vertebral compression fractures (OVCFs) were nonrandomly assigned to undergo KP under local anesthesia with PPPE or without. The number of procedure with or without a pause, need for intravenous sedation, and patient satisfactory were recorded and analyzed. Clinical outcomes were assessed using the visual analog scale and the Oswestry Disability Index. The follow-up time was 6 months.
Results
The baseline characteristics of both groups were comparable. The number of procedure without a pause in the exercises group was more than the control group (30/42 patients vs 10/41 patients, respectively, P < 0.001),and fewer patients required intravenous sedation in the exercises group (7/42 vs 28/41, respectively,P < 0.001). Patients in the exercises group were more satisfied compared with the control group (41/42 vs 32/41, respectively, P < 0.01). There were no significant differences between the two groups with regard to improvement in pain and functional scores at all postoperative intervals.
Conclusion
PPPE improves patient tolerance and satisfaction and decreases the need for intravenous sedation for patients with single level OVCFs undergoing KP under local anesthesia. To confirm and validate the results of our study,a large multi-center randomized controlled trial (RCT) study should be conducted.