The efficacy of percutaneous vertebroplasty and articular process closure in the treatment of osteoporotic vertebral compression fracture

Hanghang Bai; Wei Gao; Peiwu Zhang; Zhengyu LI; Yang LU; Hua Guo

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The efficacy of percutaneous vertebroplasty and articular process closure in the treatment of osteoporotic vertebral compression fracture

VernacularTitle:经皮椎体成形术与关节突封闭治疗骨质疏松性椎体压缩骨折的临床治疗效果分析
Author: Hanghang BAI ¹ ; Wei GAO ¹ ; Peiwu ZHANG ¹ ; Zhengyu LI ¹ ; Yang LU ¹ ; Hua GUO ¹
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1. Department of Orthopedics, Xi’an Central Hospital, Medical College of Xi’an Jiaotong University, Xi’an 710003, China
Publication Type:Journal Article
Keywords: osteoporosis; vertebral compression fracture; percutaneous vertebroplasty; facet blocking; minimally invasive spine
From: Journal of Xi'an Jiaotong University(Medical Sciences) 2021;42(6):808-812
CountryChina
Language:Chinese
Abstract: 【Objective】 To compare the efficacy of percutaneous vertebroplasty （PVP） and facet blocking （FB） in the treatment of osteoporotic vertebral compression fractures. 【Methods】 From January 2015 to June 2019， 162 patients with osteoporotic vertebral compression fracture were treated with PVP and FB. Among them， PVP group （86 cases） received PVP treatment and FB group （76 cases） received FB treatment. We compared the perioperative related indexes， the height of the anterior edge of the injured vertebrae， the sagittal kyphosis Cobb angle， visual analogue score， dysfunction index and lumbar dysfunction score of preoperative and postoperative follow-up （1 day， 1 week， 1 month， 3 months， 6 months， and 12 months） in both groups. 【Results】 There was significant difference in operation time between PVP group ［（34.25±6.04）min）］ and FB group ［（21.47±4.58）min］（P<0.05）. There was no significant difference in the height of the anterior edge of injured vertebra between the two groups before operation （P>0.05）， but there was significant difference in the height of anterior margin of injured vertebrae between the two groups at 3 days， 6 months and 12 months after operation （P<0.05）. In FB group， there was no significant change in the height of the anterior edge of the injured vertebrae at 3 days， 6 months and 12 months after operation. The two groups did not significantly differ in Cobb angle before operation （P>0.05）， but after operation（P<0.05）. The scores of VAS， ODI and RMD were lower in PVP group than in FB group 1 day and 1 week after operation （P<0.05）， but they did not significantly differ after follow-up for more than one month （P>0.05）. 【Conclusion】 Both PVP group and FB group have effectively relieved pain. The results of this study suggest that FB can become an alternative treatment for PVP in some patients， such as the poor， elderly and pain-tolerant ones.