Comparison of clinical effects between unipedicular and bipedicular approach to percutaneous vertebroplasty for osteoporosis vertebral compressive fractures
10.3969/j.issn.1006-5725.2015.22.007
- VernacularTitle:单侧与双侧入路行椎体成形术治疗老年骨质疏松性椎体骨折疗效比较
- Author:
Weihua TONG
;
Zuohong HU
;
Hao LIU
;
Jiguang WU
;
Zuguo LI
- Publication Type:Journal Article
- Keywords:
Osteoporosis;
Percutaneous vertebroplasty;
Fracture
- From:
The Journal of Practical Medicine
2015;31(22):3656-3660
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical effect and safety of percutaneous vertebroplasty between unipedicular and bipedicular approach for patients with osteoporosis vertebral compressive fractures. Methods A retrospective study was carried out on 147 patients with single osteoporotic vertebral compressive fractures from 2008 to 2014. Ninety-five cases were treated by PVP via a unipedicular approach (unipedicular group) and 52 cases were treated by the bipedicular approach (bipedicular group). The operation time, Cobb, frequency of X-ray exposure,complications like bone cement and postoperative VAS score were compared. Results No significant differences on the VAS score, cobb and complications were found (P > 0.05). However, there were significant differences on the operation time and X-ray exposure frequency (P<0.05). Conclusions No significant differences on clinical effects were found between the unipedicular and the bipedicular approach to percutaneous vertebroplasty for osteoporosis vertebral compressive fractures. However, the unipedicular approach can shorten the operation time and reduce X-ray exposure.
