Computerized stabilometry in assessing the results of puncture vertebroplasty in patients with vertebral osteoporosis
https://doi.org/10.20340/vmi-rvz.2023.4.CLIN.13
Abstract
Osteoporosis is often referred to as a "silent epidemic" because the decrease in bone mass is often asymptomatic until a fracture occurs. One of the most severe manifestations of the disease is osteoporosis of vertebral bodies, the fracture of which leads to disability. In spinal osteoporosis, the main cause of pathologic compression fractures is a fall due to impaired balance. The dynamics of balance dysfunction after surgical treatment of vertebral body compression fractures remains insufficiently studied. We performed a stabilometric study in 103 patients with osteoporosis of the spine complicated by compression fracture at the thoracic and lumbar levels in the age range from 44 to 79 years. All patients underwent puncture vertebroplasty. It was demonstrated that patients with osteoporosis of the spine still have pronounced changes in the stabilogram parameters despite their positive dynamics. The most significant changes were noted in the energy expenditure index, 60% power spectrum level in the sagittal plane and dispersion of the deviation of the center of pressure in the horizontal plane. The persisting pronounced changes in stabilometric indices in the distant postoperative period make it necessary to perform rehabilitation to restore balance and gait.
Supporting agencies: This research received no external funding
About the Authors
I. E. Poverennova
Samara State Medical University
Russian Federation
Competing Interests:
Russian Federation
Irina Е. Poverennova - Dr. Sci. (Med.), Professor, Head of the Department of Neurology and Neurosurgery.
89 Chapaevskaya str., Samara, 443099
Competing Interests:
The authors declare no competing interests
D. R. Ikromova
Samara State Medical University
Russian Federation
Competing Interests:
Russian Federation
Dilfuza R. Ikromova - Postgraduate student of the Department of Neurology and Neurosurgery.
89 Chapaevskaya str., Samara, 443099
Competing Interests:
The authors declare no competing interests
Yu. S. Komarova
Samara State Medical University
Russian Federation
Competing Interests:
Russian Federation
Yuliya S. Komarova - Researcher at the Research Institute of Neuroscience.
89 Chapaevskaya str., Samara, 443099
Competing Interests:
The authors declare no competing interests
E. V. Khivintseva
Samara State Medical University
Russian Federation
Competing Interests:
Russian Federation
Elena V. Khivintseva - Cand. Sci. (Med.), Associate Professor of the Department of Neurology and Neurosurgery.
89 Chapaevskaya str., Samara, 443099
Competing Interests:
The authors declare no competing interests
S. A. Anan'eva
Samara State Medical University
Russian Federation
Competing Interests:
Russian Federation
Svetlana A. Anan'eva - Cand. Sci. (Med.), Associate Professor of the Department of Neurology and Neurosurgery.
89 Cha-paevskaya str., Samara, 443099
Competing Interests:
The authors declare no competing interests
References
1. NIH Consensus Development Panel on Osteoporosis Prevention, Diagnosis, and Therapy. Osteoporosis prevention, diagnosis, and therapy. JAMA. 2001 Feb 14;285(6):785-95. https://doi.Org/10.1001/jama.285.6.785
2. Makarova E.V., Marchenkova L.A., Eremushkin М.А., Eremushkin M.A., Shakurova L.R., Styazhkina E.M., etc. Changes in body composition and coordination disorders in patients with compression fractures of vertebral bodies on the background of osteoporosis. Bulletin of Restorative Medicine. 2019;2(90):13-20. (In Russ).
3. Yong EL, Logan S. Menopausal osteoporosis: screening, prevention and treatment. Singapore Med J. 2021 Apr;62(4):159-166. https://doi:10.11622/smedj.2021036
4. Management of osteoporosis in postmenopausal women: the 2021 position statement of The North American Menopause Society. Menopause. 2021 Sep 1 ;28(9):973-997. https://doi.org/10.1097/GME.0000000000001831
5. Sozen T, Ozi§ik L, Ba§aran N£. An overview and management of osteoporosis. Eur J Rheumatol. 2017 Mar;4(1):46-56. https://doi.Org/10.5152/eurjrheum.2016.048
6. Zakharov A.V., Vlasov la.V., Poverennova I.E., Khivintseva E.V., Antipov O.l. Posture disorders in patients with multiple sclerosis. Zh Nevrol Psikhiatr Im S S Korsakova. 2014; 114(2 Pt 2):55-8. (In Russ).
7. Zakharov А.V., Kuznetsova N.I., Khivintseva E.V., Vlasov Ya.V. Features of rehabilitation in multiple sclerosis. Neurological Bulletin. 2010;42(1): 110-114. (In Russ).
8. Zakharov А.V., Khivintseva E.V., Chaplygin S.S., Starikov-sky M.Yu., Elizarov M.A., Kolsanov A.V. Motor rehabilitation of patients in the acute period of stroke using virtual reality technology. Journal of Neurology and Psychiatry named after C.C. Korsakov. 2021 ;121(8-2);71-75. https://doi.Org/10.17116/jnevro202112108271 (In Russ).
9. Zakharov A.V., Bulanov V.A., Khivintseva E.V., Kolsanov A.V., Bushkova Y.V., Ivanova G.E. Stroke Affected Lower Limbs Rehabilitation Combining Virtual Reality With Tactile Feedback. Front Robot Al. 2020 Jul 9;7:81. https://doi.org/10.3389/frobt.2020.00081
10. Povennova I.E., Zakharov A.V., Khivintseva E.V., Pyatin V.F., Kolsanov A.V., Chaplygin S.S., etc. Preliminary results of the study of the effectiveness of using virtual reality techniques to restore the motor function of the lower extremities in patients in the acute period of stroke. Saratov Scientific and Medical Journal. 2019:15(1 );172-176. (In Russ).
11. Makarova E.V. Marchenkova L.A., Chesnokova E.l. Coordination disorders in patients who have undergone osteoporotic compression fractures of the vertebrae. Questions of balneology, physiotherapy and therapeutic physical culture. 2020; 97(6-2):73. (In Russ).
12. Bhattacharya A, Watts NB, Dwivedi A, Shukla R, Mani A, Diab D. Combined Measures of Dynamic Bone Quality and Postural Balance—A Fracture Risk Assessment Approach in Osteoporosis. J Clin Densitom. 2016 Apr-Jun; 19(2): 154-64. https://doi.Org/10.1016/j.jocd.2015.03.005
13. Prado JM, Stoffregen ТА, Duarte M. Postural sway during dual tasks in young and elderly adults. Gerontology. 2007;53(5):274-281. https://doi.Org/10.1159/000102938
14. Qazi SL, Sirola J, Kroger H, Honkanen R, Isanejad M, Airaksinen O, Rikkonen T. High Postural Sway Is an Independent Risk Factor for Osteoporotic Fractures but Not for Mortality in Elderly Women. J Bone Miner Res. 2019 May;34(5):817-824. https://doi.Org/10.1002/jbmr.3664
15. Promsri A, Cholamjiak P, Federolf P. Walking Stability and Risk of Falls. Bioengineering (Basel). 2023 Apr 12; 10(4):471. https://doi.Org/10.3390/bioengineering10040471
16. Xu HT, Zheng S, Kang MY, Yu T, Zhao JW. A novel computer navigation model guided unilateral percutaneous vertebroplasty for vertebral compression fracture: A case report. Medicine (Baltimore). 2020 Oct 30;99(44):e22468. https://doi.org/10.1097/MD.0000000000022468
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For citations:
Poverennova I.E., Ikromova D.R., Komarova Yu.S., Khivintseva E.V., Anan'eva S.A. Computerized stabilometry in assessing the results of puncture vertebroplasty in patients with vertebral osteoporosis. Bulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH). 2023;13(4):102-108. (In Russ.) https://doi.org/10.20340/vmi-rvz.2023.4.CLIN.13
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