与双侧经皮椎体后凸成形术相比,经皮弧形椎体后凸成形术在治疗骨质疏松性椎体压缩性骨折时可降低骨水泥椎体再骨折的风险

IF 3.6 3区 医学
Qiang Zhou, Yanlin Wan, Le Ma, Liang Dong, Weijian Yuan
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引用次数: 0

摘要

目的:本研究旨在比较经皮弧形椎体成形术(PCVP)和双侧经皮椎体后凸成形术(PKP)在治疗骨质疏松性椎体压缩骨折(OVCF)中的骨水泥椎体再骨折率:将94例单节段胸腰椎OVCF患者随机分为两组(每组47例),分别接受PCVP或双侧PKP手术。记录骨水泥椎体折断、骨水泥注射量和骨水泥形态、骨水泥渗漏率、手术总时间、术中透视时间、术前术后 Cobb 角和椎体前高度、Oswestry 残疾指数问卷(ODI)和视觉模拟量表(VAS):结果:PCVP 组的骨水泥椎体骨折发生率明显低于双侧 PKP 组(p< 0.05)。两组术后 VAS 评分和 ODI 均有明显改善(P< 0.01),两组间无明显差异。PCVP 组的手术时间和术中透视时间明显少于双侧 PKP 组(p< 0.01)。PCVP组的平均后凸角矫正和椎体高度恢复明显少于双侧PKP组(p< 0.01):PCVP和PKP都是治疗OVCF安全有效的方法。关键词:骨质疏松症;骨质疏松性椎体压缩骨折;经皮弧形椎体成形术;经皮椎体后凸成形术
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Percutaneous Curved Vertebroplasty Decrease the Risk of Cemented Vertebra Refracture Compared with Bilateral Percutaneous Kyphoplasty in the Treatment of Osteoporotic Vertebral Compression Fractures
Purpose: The purpose of this study is to compare the refracture rate of the cemented vertebral body of percutaneous curved vertebroplasty (PCVP) and bilateral percutaneous kyphoplasty (PKP) in the treatment of osteoporotic vertebral compression fractures (OVCF).
Methods: Ninety-four patients with single segment thoracolumbar OVCF were randomly divided into two groups (47 patients in each) and underwent PCVP or bilateral PKP surgery, respectively. Refracture of cemented vertebral body, bone cement injection volume and cement pattern, cement leakage rate, total surgical time, intraoperative fluoroscopy time, preoperative and postoperative Cobb angles and anterior vertebral height, Oswestry disability index questionnaire (ODI) and visual analog scales (VAS) were recorded.
Results: The PCVP group had significantly lower refracture incidence of the cemented vertebral than the bilateral PKP group (p< 0.05). There was a significant postoperative improvement in the VAS score and ODI in both group (p< 0.01), and no significant difference was found between two groups. The operation time and intraoperative fluoroscopy times were significantly less in the PCVP group than in the bilateral PKP group (p< 0.01). The mean kyphosis angle correction and vertebral height restoration in the PCVP group was significantly less than that in the bilateral PKP group (p< 0.01).
Conclusion: Both PCVP and PKP were safe and effective treatments for OVCF. The PCVP had lower refracture rate of the cemented vertebral than the bilateral PKP group, and PCVP entailed less exposure to fluoroscopy and shorter operation time than bilateral PKP.

Keywords: osteoporosis, osteoporotic vertebral compression fractures, percutaneous curved vertebroplasty, percutaneous kyphoplasty
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来源期刊
Clinical Interventions in Aging
Clinical Interventions in Aging GERIATRICS & GERONTOLOGY-
CiteScore
6.20
自引率
2.80%
发文量
193
期刊介绍: Clinical Interventions in Aging, is an online, peer reviewed, open access journal focusing on concise rapid reporting of original research and reviews in aging. Special attention will be given to papers reporting on actual or potential clinical applications leading to improved prevention or treatment of disease or a greater understanding of pathological processes that result from maladaptive changes in the body associated with aging. This journal is directed at a wide array of scientists, engineers, pharmacists, pharmacologists and clinical specialists wishing to maintain an up to date knowledge of this exciting and emerging field.
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