Percutaneous Curved Vertebroplasty Versus Unipedicular Approach Vertebroplasty for Acute Osteoporotic Vertebral Compression Fractures

医学 经皮椎体成形术 可视模拟标度 Oswestry残疾指数 骨水泥 外科 透视 随机对照试验 背痛 不利影响 压缩(物理) 射线照相术 腰痛 水泥 内科学 椎体 替代医学 考古 病理 历史 材料科学 复合材料
作者
Zhendong Lv,Zehao Chen,Hao Chen,Jieying Wang,Yingchao Han,Xin‐Feng Li,Hongxing Shen,Yuhui Zhang
出处
期刊:Spine [Lippincott Williams & Wilkins]
卷期号:48 (8): 552-558 被引量:6
标识
DOI:10.1097/brs.0000000000004593
摘要

Study Design. Prospective randomized controlled trial. Objective. To clarify whether percutaneous curved vertebroplasty (PCVP) is superior to conventional unipedicular approach vertebroplasty (UVP) in patients with acute osteoporotic vertebral compression fractures (OVCFs). Summary of Background Data. Unilateral curved vertebroplasty devices were designed and applied to provide better control of cement placement, which may be superior to traditional UVP for the treatment of acute OVCFs. Materials and Methods. Patients with single-level OVCFs of <6 weeks duration and visual analog scale (VAS) of back pain 5 or more were randomly allocated to undergo PCVP or UVP and were followed up for 1 year. The primary outcome was overall VAS scores for back pain during 12 months of follow-up. The secondary outcomes were scores on the Oswestry disability index at each postprocedure clinic visit. Radiographic (cement distribution) and surgical data (operation time, fluoroscopy frequency, and cement volume) were assessed. Complications and adverse events were recorded. Results. No statistical difference was found between the PCVP and UVP groups with respect to VAS and Oswestry disability index scores at any follow-up time point. Operative time, fluoroscopy frequency, and cement leakage were similar in both groups, while the PCVP techniques had a larger injection of polymethylmethacrylate (5.5 ± 1.4 vs . 4.2 ± 1.0 mL) and a greater dispersion pattern of cement ( P < 0.001). Post hoc observations found that the analgesic effect was positively correlated with the symmetry of bone cement distribution, but not with the surgical method. Two serious adverse events occurred in the vertebroplasty group: one stress ulcer and one allergic reaction. Conclusions. Although PCVP achieved more symmetrical cement distribution, which seemed to be associated with a greater analgesic effect, PCVP did not result in significantly greater pain relief than a UVP in the 12 months after treatment.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
上官若男应助安静沛柔采纳,获得10
刚刚
何毛毛完成签到,获得积分10
1秒前
乐乐应助TomatoPan采纳,获得10
2秒前
桔子不笑完成签到,获得积分10
2秒前
3秒前
DrWang发布了新的文献求助10
3秒前
君君发布了新的文献求助10
4秒前
热心市民小红花应助小路采纳,获得10
4秒前
5秒前
5秒前
情怀应助贪玩的傲菡采纳,获得10
5秒前
6秒前
小蘑菇应助疯狂的冷玉采纳,获得10
6秒前
jyt发布了新的文献求助10
7秒前
Owen应助li采纳,获得10
7秒前
小金刀完成签到,获得积分10
7秒前
可爱的函函应助jcx采纳,获得10
7秒前
张彪完成签到,获得积分10
8秒前
美伢发布了新的文献求助30
9秒前
江浪浪完成签到,获得积分0
9秒前
科研薯条发布了新的文献求助10
11秒前
jiangmj1990完成签到,获得积分10
11秒前
英俊的铭应助梅子采纳,获得10
11秒前
kyt发布了新的文献求助10
12秒前
wise完成签到,获得积分20
12秒前
秋日微波发布了新的文献求助30
15秒前
16秒前
江浪浪发布了新的文献求助50
16秒前
18秒前
19秒前
20秒前
科研通AI2S应助自由的馒头采纳,获得10
20秒前
jiangmj1990发布了新的文献求助10
20秒前
脑洞疼应助吴芃萱采纳,获得10
20秒前
Jiao完成签到,获得积分10
21秒前
隐形曼青应助一二采纳,获得10
21秒前
21秒前
ziyu发布了新的文献求助20
22秒前
22秒前
天天快乐应助漏漏漏采纳,获得10
22秒前
高分求助中
【重要!!请各位用户详细阅读此贴】科研通的精品贴汇总(请勿应助) 10000
International Code of Nomenclature for algae, fungi, and plants (Madrid Code) (Regnum Vegetabile) 1000
Semantics for Latin: An Introduction 600
Robot-supported joining of reinforcement textiles with one-sided sewing heads 530
Apiaceae Himalayenses. 2 500
Maritime Applications of Prolonged Casualty Care: Drowning and Hypothermia on an Amphibious Warship 500
Tasteful Old Age:The Identity of the Aged Middle-Class, Nursing Home Tours, and Marketized Eldercare in China 350
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 4078265
求助须知:如何正确求助?哪些是违规求助? 3617438
关于积分的说明 11481786
捐赠科研通 3334483
什么是DOI,文献DOI怎么找? 1832774
邀请新用户注册赠送积分活动 902252
科研通“疑难数据库(出版商)”最低求助积分说明 820987