医学
经皮椎体成形术
压缩(物理)
柯布角
Oswestry残疾指数
骨科手术
外科
骨质疏松症
可视模拟标度
椎体压缩性骨折
骨水泥
核医学
经皮
射线照相术
椎体
水泥
腰痛
内科学
替代医学
材料科学
考古
复合材料
病理
历史
作者
Zhihua Geng,Quanfa Zhou,Guowei Shang,Yanhui Ji,Hongwei Kou,Hongjian Liu
出处
期刊:Orthopedics
[SLACK, Inc.]
日期:2021-01-01
卷期号:44 (1)
被引量:6
标识
DOI:10.3928/01477447-20201012-03
摘要
The purpose of this study was to compare the efficacy of the curved puncture approach with 2 conventional approaches in percutaneous vertebroplasty (PVP) for the treatment of single-level osteoporotic vertebral compression fractures. Ninety-six patients with a single-level thoracolumbar vertebral fracture were surgically treated in the authors' department from February 2016 to February 2018. Patients were randomly divided into 3 groups, including 25 patients who had PVP punctured with a curved vertebroplasty needle (group C), 40 patients with unipedicular PVP with a straight vertebroplasty needle (group U), and 31 patients with bipedicular PVP with a straight vertebroplasty needle (group B). The short-term efficacies of PVP using different vertebroplasty needles were compared. Significant differences were tested preoperatively and postoperatively in vertebral body height variation, visual analog scale score, and Oswestry Disability Index in each of the 3 groups ( P <.05). There was no significant difference among the groups in terms of Cobb angle correction and bone cement leakage. Group C and group U were superior to group B in terms of operative time and injected cement volume ( P <.05). Twenty-four (96.0%) patients in group C and 29 (93.5%) patients in group B had centered cement distribution without significant differences ( P >.05), which was superior to group U ( P <.05). Curved puncture PVP achieved a satisfactory clinical outcome for osteoporotic vertebral compression fractures, with the advantages of less operative time, less injected cement volume, and more reasonable cement distribution for stabilization of the affected vertebrae. [ Orthopedics . 2021;44(1):e131–e138.]
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