Restoration of vertebral height after percutaneous vertebroplasty for osteoporotic vertebral compression fractures
- VernacularTitle:骨质疏松性椎体压缩性骨折患者椎体成形术后椎体高度恢复的研究
- Author:
Zhiming XU
1
;
Yuanzhen LI
1
;
Yanlong GONG
1
;
Zhipeng WANG
1
;
Penggang ZUO
1
;
Minjian JIANG
1
Author Information
- Publication Type:Journal Article
- Keywords: osteoporotic vertebral compression fracture(OVCF); percutaneous vertebroplasty(PVP); restoration of vertebral height
- From: Journal of Xi'an Jiaotong University(Medical Sciences) 2025;46(6):996-1001
- CountryChina
- Language:Chinese
- Abstract: Objective To identify the most significantly compressed areas and the areas with the best recovery effects by analyzing the changes in vertebral height after percutaneous vertebroplasty(PVP)in patients with osteoporotic vertebral compression fractures(OVCF)through lateral radiographs.Methods A retrospective analysis was conducted on the lateral X-rays of 186 injured vertebrae from 142 patients hospitalized in our hospital's intervertebral disc center.The sagittal height of the vertebrae was measured at five different points before and after surgery,and the collected data were statistically analyzed using SPSS software.Results There were statistically significant differences in the heights of the five measured points before and after surgery within OVCF injured vertebrae(P＜0.05),in the ascending order:central＜mid-anterior＜mid-posterior＜anterior edge＜posterior edge.Comparison of the height parameters of the five measured points before and after surgery showed statistically significant differences(P＜0.01).In comparing the height restoration differences of the five measured points after PVP,the differences between central and mid-anterior,central and anterior edge,and mid-posterior and anterior edge were found not to be statistically significant(P＞0.05).The differences in height restoration for the remaining groups were statistically significant(P＜0.05),with the height restoration differences from highest to lowest being:mid-anterior,central,anterior edge,mid-posterior,posterior edge.Conclusion In patients with OVCF,the compression of the injured vertebra is most pronounced in the central part,followed by the mid-anterior part.PVP surgery can effectively restore the height of various parts of the injured vertebra,especially in the mid-anterior and central parts of the vertebral body,where the recovery effect is particularly significant.
