Relationship between bone cement-vertebral volume ratio and therapeutic effect of osteoporotic vertebral compression fractures

Chao MA; Jiangping Ding; Bin Wang; Ben Niu; Wumaier Muhetaer; Guozhu Tang; Hongtao Yang; Xinwen Feng

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Relationship between bone cement-vertebral volume ratio and therapeutic effect of osteoporotic vertebral compression fractures

VernacularTitle:骨水泥-椎体体积比与骨质疏松椎体压缩骨折治疗效果的关系
Author: Chao MA ¹ ; Jiangping DING ; Bin WANG ; Ben NIU ; Wumaier MUHETAER ; Guozhu TANG ; Hongtao YANG ; Xinwen FENG
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1. 新疆巴州人民医院脊柱外科,新疆维吾尔自治区库尔勒市 841000
Keywords: bone cement-vertebral volume ratio; percutaneous vertebroplasty; osteoporotic vertebral compression fracture; bone cement distribution pattern; pain; dysfunction
From: Chinese Journal of Tissue Engineering Research 2024;28(29):4652-4656
CountryChina
Language:Chinese
Abstract: BACKGROUND:Percutaneous vertebroplasty has become the main treatment method for osteoporotic vertebral compression fractures due to its advantages of convenient operation and low trauma.However,the optimal bone cement-vertebral volume ratio has not been determined. OBJECTIVE:To investigate the effect of bone cement-vertebral volume ratio on percutaneous vertebroplasty for osteoporotic vertebral compression fractures. METHODS:The clinical data of 100 patients with single-stage osteoporotic vertebral compression fractures admitted to Xinjiang Bazhou People's Hospital from July 2019 to July 2022 were retrospectively analyzed.All patients received percutaneous vertebroplasty.According to the bone cement-vertebral volume ratio,they were divided into the low volume group(15%≤ratio≤20%)and the high volume group(20%0.05).The vertebral anterior margin height in the low volume group was lower than that in the high volume group at 3 days and 1 year after surgery(P<0.05).The Cobb angle of the injured vertebrae in the low volume group was higher than that in the high volume group at 3 days and 1 year after surgery(P<0.05).(2)There were 10 H-type and 40 O-type bone cement distributions in the low volume group.There were 36 H-type and 14 O-type bone cement distributions in the high volume group,and there was no significant difference in bone cement distributions between the two groups(P<0.05).The bone cement leakage rate in the high volume group and low volume group was 10%and 6%,respectively.(3)It is indicated that both low and high bone cement-vertebral volume ratios can improve postoperative pain and functional dysfunction,but high bone cement-vertebral volume ratio can improve the morphological recovery of injured vertebral,which may be related to the fact that the distribution of bone cement in this group is more H-type.