The clinical efficacy of percutaneous vertebroplasty combined with postural reduction versus kyphoplasty: A systematic review and meta-analysis.

IF 1.4 4区医学 Q3 ORTHOPEDICS

Journal of Back and Musculoskeletal Rehabilitation Pub Date : 2025-05-15 DOI:10.1177/10538127241296690

Haien Zhao, Kun Ren, Xin Dong, Bo Liao

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引用次数: 0

Abstract

Background: Osteoporotic vertebral compression fractures (OVCFs) are a significant cause of disability worldwide.

Objective: The purpose of this meta-analysis is to explore whether postural reduction and vertebroplasty (PRVP) offers the same therapeutic efficacy as KP to provide evidence for the treatment strategy of OVCFs.

Methods: We searched for the published results of relevant trials in PubMed (Jan 2000 to Dec 2023), Ovid (Jan 2000 to Dec 2023), Science Direct online (Jan 2000 to Dec 2023), the Cochrane Library, the Institute for Scientific Information (ISI) Web of Knowledge (Jan 2000 to Dec 2023), as well as several orthopaedics journals. The full text was obtained and reviewed for the studies meeting the inclusion and exclusion criteria.

Results: Five randomized studies were adequately included and analyzed. The data was pooled using Review Manager (REVMAN) 5.3 software. The pooled results showed no significant differences between the two groups in indicated outcomes: the Cobb's angle post-operation (MDs, 2.86; 95% CIs, -0.98 to 6.71; P = 0.14), leakage of cement during operation (RR, 1.66; 95% CIs, 0.89 to 3.08; P = 0.11) and the compression rate of related vertebra (MDs, 4.32; 95% CIs, -1.69 to 10.33; P = 0.16).

Conclusion: PRVP and KP were equally effective and safe in the clinical outcomes of OVCFs.

查看原文本刊更多论文

经皮椎体成形术联合体位复位与后凸成形术的临床疗效：系统回顾和荟萃分析。

背景：骨质疏松性椎体压缩性骨折（OVCFs）是世界范围内致残的重要原因。目的：本荟萃分析的目的是探讨体位复位和椎体成形术（PRVP）是否与KP具有相同的治疗效果，为OVCFs的治疗策略提供证据。方法：检索PubMed（2000年1月至2023年12月）、Ovid（2000年1月至2023年12月）、Science Direct online（2000年1月至2023年12月）、Cochrane图书馆、科学信息研究所（ISI）知识网（2000年1月至2023年12月）以及一些骨科期刊中已发表的相关试验结果。获取全文并对符合纳入和排除标准的研究进行审查。结果：五项随机研究被充分纳入和分析。使用Review Manager (REVMAN) 5.3软件对数据进行汇总。合并结果显示，两组的指标无显著差异：术后Cobb角(md, 2.86；95% ci, -0.98 ~ 6.71；P = 0.14)，术中水泥渗漏(RR, 1.66；95% ci, 0.89 ~ 3.08；P = 0.11)，相关椎体压缩率(MDs, 4.32；95% ci, -1.69 ~ 10.33；p = 0.16)。结论：PRVP与KP对OVCFs的临床疗效和安全性相同。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Back and Musculoskeletal Rehabilitation 医学-康复医学

CiteScore

2.70

自引率

0.00%

发文量

194

审稿时长

6 months

期刊介绍： The Journal of Back and Musculoskeletal Rehabilitation is a journal whose main focus is to present relevant information about the interdisciplinary approach to musculoskeletal rehabilitation for clinicians who treat patients with back and musculoskeletal pain complaints. It will provide readers with both 1) a general fund of knowledge on the assessment and management of specific problems and 2) new information considered to be state-of-the-art in the field. The intended audience is multidisciplinary as well as multi-specialty. In each issue clinicians can find information which they can use in their patient setting the very next day.