Percutaneous Bone Cement Augmentation Treatment for Osteoporotic Compression Fracture Nonunion
10.3969/j.issn.1009-6604.2016.01.016
- VernacularTitle:经皮穿刺骨水泥强化治疗骨质疏松性压缩性骨折骨不愈合
- Author:
Jirong ZHAO
;
Xingsheng WANG
;
Ning ZHAO
- Publication Type:Journal Article
- Keywords:
Targeted positioning;
Fracture nonunion;
Bone cement;
Osteoporotic
- From:Chinese Journal of Minimally Invasive Surgery
2016;(1):57-60
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the safety and short-term clinical outcomes of percutaneous targeted positioning bone cement augmentation treatment for osteoporotic compression fracture nonunion. Methods A total of 32 cases of osteoporotic vertebral compression fracture nonunion, with clinical course of more than 6 months between September 2009 and September 2012 were selected. Under local anesthesia and radiological monitoring, targeted positioning puncture was carried out to inject bone cement to strengthen the lesions of nonunion. Visual analogue scale (VAS), activities of daily living (ADL) and radiographic results were compared among preoperative 1 day and postoperative 1 day, 3 months, 6 months, and 12 months. Results The operation was successfully completed in 34 vertebrae of the 32 cases. Postoperative radiographic observation found no cement leakage. As compared to preoperative level, the VAS scores significantly deceased at postoperative 1 day, 3 months, 6 months, and 12 months (P<0. 05), with significant decrease from postoperative 3 months to 12 months (P<0. 05). At postoperative 3 months, 6 months, and 12 months, the ADL scores significantly increased as compared to preoperation (P <0. 05). No significant differences were seen in vertebral anterior and middle height between the preoperation and postoperation (P>0. 05). Conclusion Percutaneous targeted positioning bone cement augmentation treatment for osteoporotic compression fracture nonunion is safe and effective.
