The research of clinical efficacy of high-viscosity bone cement in percutaneous vertebral plasty for treatment of osteoporotic vertebral compression fractures
10.3969/j.issn.1005-6483.2018.04.017
- VernacularTitle:经皮椎体成形术治疗骨质疏松性椎体压缩骨折中高黏度骨水泥的临床应用研究
- Author:
Junfeng CHEN
1
Author Information
1. 431700,湖北省天门市第一人民医院骨科
- Keywords:
high-viscosity bone cement;
osteoporotic vertebral compression fractures;
per-cutaneous vertebral plasty
- From:
Journal of Clinical Surgery
2018;26(4):297-299
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical efficacy of high-viscosity and ordinary bone ce-ment in percutaneous vertebral plasty for treatment of osteoporotic vertebral compression fractures.Meth-ods Collected 80 osteoporotic vertebral compression fractures(OVCF)cases treated by percutaneous ver-tebroplasty(PVP). The patients were randomized into the high-viscosity group(high-viscosity bone ce-ment,50 patients)and the control group(ordinary bone cement,50 patients).Record the basic information of patients,visual analogue scale(VAS)and oswestry disability index(ODI)were used to evaluate the pain and lumbar function;through measuring the Cobb of X ray,film to compare the recovery of Cobb in two groups.Calculate and compare the incidence of leakage of bone cement and adjacent vertebral fracture in two groups. Results There were no statistically significant difference of VAS,ODI and Cobb in two groups compared with preoperative's(P>0.05).Immediately,3 days and 6 months after PVP,VAS,ODI and Cobb were reduced compared with baseline,the difference was statistically significant(P<0.05),the corresponding time point after operation,VAS,ODI and Cobb of high-viscosity group were lower than the control group,the difference was statistically significant(P<0.05).After PVP,the bone cement leakage rate were 18%(9/50)and 32%(16/50)in high-viscosity group and control group respectively(P <0.05).After PVP,the incidence of adjacent vertebral body fracturewere were 2%(1/50)and 6%(3/50) in high-viscosity group and control group respectively(P<0.05).Conclusion There are better clinical curative effect and less postoperative complications of OVCF patients treated with high-viscosity bone ce-ment in PVP.
