3D navigation assisted percutaneous vertebroplasty combined with postoperative lower-back muscles training in treatment of osteoporotic vertebral compression fracture
10.13929/j.1672-8475.201902017
- Author:
Zhipeng XI
1
Author Information
1. Department of Orthopaedics, Jiangsu Province Hospital on Integration of Chinese and Western Medicine, Affiliated Hospital of Integrated Traditional Chinese Western Medicine
- Publication Type:Journal Article
- Keywords:
Back muscle exercise;
Fractures, compression;
Lumbar vertebrae;
Osteoporosis;
Percutaneous vertebroplasty;
Thoracic vertebrae;
Three dimensional navigation system
- From:
Chinese Journal of Interventional Imaging and Therapy
2019;16(10):603-607
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To observe value of 3D navigation assisted percutaneous vertebroplasty (PVP) combined with postoperative lower-back muscles training in treatment of osteoporotic vertebral compression fracture (OVCF). Methods: Twenty-five consecutive patients with OVCF were enrolled in observation group and treated with 3D navigation assisted PVP using O-arm scanner and postoperatively systematic back muscle exercise, while other 25 OVCF patients in control group were treated with traditional C-arm assisted PVP and postoperatively regular back muscle exercise. Intraoperative fluoroscopy time, mean dose of radiation, mean procedure time, visual analogue score (VAS) before and 2 h, 1 month, 3 months, 6 months after operation were compared between the two groups. Technical success rate was calculated, and vertebral leakages and complications were observed. Results: Technical success rate of the two groups were both 100% (25/25). The duration of fluoroscopy and operation were shorter, the radiation dose was lower in observation group (all P<0.05). The incidences of bone cement leakage in observation group and control group was 4.00% (1/25) and 8.00% (2/25), respectively. No serious complication such as nerve root injury, intraspinal hematoma nor pulmonary embolism occurred. VAS at 3 and 6 months after operation in observation group were significantly lower than those in control group (both P<0.05).There was no significant difference of VAS before and 2 h, 1 month after operation between the two groups (all P>0.05). Conclusion: PVP guided with 3D navigation combined with postoperative lumbar and dorsal muscle training can safely and effectively treat OVCF, shorten the operation time, reduce radiation exposure and improve the medium and long-term pain symptoms after PVP.
