Curative effect contrast of single perfusion and temperature gradient perfusion in PKP treatment of osteoporotic vertebral compression fractures
- VernacularTitle:单次灌注与温度梯度灌注在PKP治疗骨质疏松性椎体压缩性骨折中的疗效对比
- Author:
Han-shi YANG
1
;
Xiao-qing LU
1
;
Han-qi CAO
1
Author Information
- Publication Type:Journal Article
- Keywords: temperature gradient perfusion; balloon dilatation percutaneous kyphoplasty; single perfusion; osteoporotic vertebral compression fractures; curative effect
- From: Journal of Regional Anatomy and Operative Surgery 2025;34(2):117-121
- CountryChina
- Language:Chinese
- Abstract: Objective To compare the application effect of single perfusion technique and temperature gradient perfusion technique in balloon dilatation percutaneous kyphoplasty(PKP)in the treatment of osteoporotic vertebral compression fractures.Methods A total of 116 patients with osteoporotic vertebral compression fracture who underwent PKP in our hospital were selected and divided into the single perfusion group(n=57)and the temperature gradient perfusion group(n=59)according to different bone cement perfusion methods.The perioperative indicators,pain visual analogue scale(VAS)scores,Oswestry dysfunction index(ODI)scores,imaging indicators and incidence of bone cement leakage were compared between the two groups.Results The amount of bone cement injection of patients in the temperature gradient perfusion group was less than that in the single perfusion group(P<0.05).There was no significant difference in operation time,intraoperative blood loss or intraoperative fluoroscopy times of patients between the two groups(P>0.05).The VAS and ODI scores of patients in the temperature gradient perfusion group were lower than those in the single perfusion group 1 week after operation(P<0.05).At 1 week after operation and the last follow-up,the relative height of the anterior edge of the injured vertebrae in both groups were higher than those before operation(P<0.05),and the Cobb angle were smaller than those before operation(P<0.05).The incidence of bone cement leakage in the temperature gradient perfusion group was lower than that in the single perfusion group(P<0.05).Conclusion The application of temperature gradient perfusion technique in PKP for the treatment of osteoporotic vertebral compression fractures can achieve the same surgical treatment effect as single perfusion technique,and temperature gradient perfusion technique can reduce the amount of bone cement injection,reduce the incidence of bone cement leakage,and alleviate postoperative pain.
