Efficacy of percutaneous vertebroplasty through unilateral transverse rocess-pedicular for postmenopausal lumbar osteoporotic fracture
10.3760/cma.j.cn115807-20250408-00096
- VernacularTitle:绝经后腰椎骨质疏松性骨折经横突根部单侧穿刺经皮椎体成形术治疗效果观察
- Author:
Kejie ZHANG
1
;
Cong ZHANG
1
;
Weiye CHEN
1
;
Yuanbin ZHANG
1
Author Information
1. 杭州市富阳中医骨伤医院骨科，杭州 311400
- Publication Type:Journal Article
- Keywords:
Percutaneous vertebroplasty;
Transverse process-pedicular;
Postmenopausal;
Lumbar osteoporosis fracture
- From:
Chinese Journal of Endocrine Surgery
2025;19(4):584-588
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the efficacy of percutaneous vertebroplasty through unilateral transverse process-pedicular for postmenopausal lumbar osteoporotic fractures.Methods:Retrospective analysis included 102 patients with postmenopausal lumbar osteoporotic fracture admitted to Hangzhou Fuyang Hospital of Orthopedics of Traditional Chinese Medicine from Jan. 2023 to Jan. 2024, who were divided into unilateral transverse process-pedicular group (UTPP group, n=48) and unilateral transverse pedicular group (UTP group, n=54) by means of approach. The changes of surgery-related indexes, imaging indexes and postoperative lumbar function recovery of the two groups were observed, and the patients were followed up for 1 year to record the incidence of secondary fracture of injured vertebra, fracture of adjacent vertebra and diffusion of bone cement. Results:The bone cement leakage rate in UTPP group was lower than that in UTP group ( P < 0.05), and there was no statsistically significant difference in operation time, fluoroscopy times, intraoperative blood loss, bone cement injection amount and hospital stay between the two groups ( P > 0.05). Before surgery, 3 months and 6 months after surgery, vertebral anterior margin height, middle vertebral height and sagittal cobb Angle between the two groups showed no significant differences ( P > 0.05). Visual analogue score (VAS) and oswestry disability index (ODI) between the two groups before surgery and 3 months after surgery had no statistically significant differences ( P > 0.05) ; VAS and ODI scores in UTPP group were lower than those in UTP group 6 months after surgery ( P < 0.05). The incidence of secondary fracture in UTPP group was lower than that in UTP group, while the height diffusion rate of bone cement was higher (all P < 0.05). The incidence of adjacent vertebral fracture between the two groups showed no statistically significant difference ( P > 0.05) . Conclusions:In postmenopausal patients with lumbar osteoporotic fractures, percutaneous vertebroplasty through unilateral transverse process-pedicular can effectively reduce the rate of intraoperative bone cement leakage, and has certain advantages in improving postoperative pain, promoting the recovery of postoperative lumbar function and reducing the risk of secondary fractures.
