Therapeutic effect of unilateral and bilateral pedicle approach percutaneous vertebroplasty in the treatment of osteoporotic vertebral compression fractures
10.3760/cma.j.issn.1008-6706.2019.13.002
- VernacularTitle: 单双侧椎弓根入路经皮椎体成形术治疗骨质疏松性椎体压缩性骨折的疗效分析
- Author:
Aiguo LIU
1
;
Bingkang ZHOU
1
;
Xian ZHANG
1
;
Yongsheng WANG
1
;
Qinggong GUO
1
;
Zhiguo BAO
2
Author Information
1. Department of Orthopaedics, the First Affiliated Hospital of He′nan University, Kaifeng, He′nan 475001, China
2. Department of Imaging, the First Affiliated Hospital of He′nan University, Kaifeng, He′nan 475001, China
- Publication Type:Journal Article
- Keywords:
Spinal fractures;
Vertebroplasty;
Osteoporotic;
Fractures, compression;
Bone cement;
Operative time;
Comparative effectiveness research
- From:
Chinese Journal of Primary Medicine and Pharmacy
2019;26(13):1541-1544
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the efficacy of percutaneous vertebroplasty (PVP) in the treatment of osteoporotic vertebral compression fractures (OVCF).
Methods:A retrospective analysis of 76 patients with OVCF treated with single and double pedicle approach PVP from April 2016 to June 2017 in the First Affiliated Hospital of He′nan University was conducted.According to the operation method, the patients were divided into unilateral group (42 patients, unilateral pedicle approach), and bilateral group (34 cases, bilateral pedicle approach). The operation time, number of intraoperative X-rays, amount of bone cement injection, height of the vertebral body and the complications were compared between the two groups.The visual analogue scale (VAS) and the Oswestry dysfunction index(ODI) score were used to assess the recovery of the patients.
Results:The unilateral group had less operative time[(33.01±3.78)min], intraoperative X-ray number[(22.06±3.85) times]and bone cement injection[(3.53±0.42) mL] compared with the bilateral group (t=8.54, 5.98, 4.74, all P<0.05). There were no statistically significant differences in the recovery of vertebral height and complications between the two groups (all P>0.05). The postoperative VAS and ODI of the two groups were significantly improved compared with those before operation (all P<0.05).
Conclusion:In the case of reasonable indications, the unilateral approach PVP is better than bilateral, and unilateral approach PVP should be the first choice for OVCF.
