经皮网状容器成形术与经皮椎体后凸成形术治疗伴有内板上缘损伤的骨质疏松性压缩骨折:一项回顾性研究。

IF 1.9 4区 医学 Q3 CLINICAL NEUROLOGY
World neurosurgery Pub Date : 2025-01-01 Epub Date: 2024-10-26 DOI:10.1016/j.wneu.2024.09.142
Haifu Sun, Zhiyong Sun, Wenxiang Tang, Chengyue Wang, Jingjie Wang, Yonggang Li, Yimeng Wang
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引用次数: 0

摘要

背景:经皮网状容器成形术(PMCP)是一种改良的传统经皮椎体成形术(PKP)技术,越来越多地被用于治疗伴有椎体内板上缘损伤的骨质疏松性椎体压缩骨折(OVCF)。这项回顾性研究旨在比较 PKP 和 PMCP 治疗该病的临床和放射学效果:我们回顾性分析了2019年1月至2021年12月期间在我院接受治疗的骨质疏松性压缩骨折和上终板损伤患者的病历。共有 192 名符合纳入和排除标准的患者入选。其中,103 人接受了 PKP 治疗,89 人接受了 PMCP 治疗。主要结果指标包括手术安全性、临床疗效和放射学结果:结果:PKP组和PMCP组术后VAS(视觉模拟量表)和ODI(Oswestry残疾指数)评分均有明显改善。此外,两组患者的椎体前高度比(AVBHr)和Cobb's角均有所改善,但无统计学差异。两组患者的住院时间相似。值得注意的是,PMCP 组需要注射的骨水泥量更大,但与 PKP 组(分别为 24/103 和 11/103)相比,骨水泥渗漏和邻近椎体骨折的发生率(分别为 9/89 和 2/89)明显较低(P < 0.05)。此外,与PKP组(分别为27.23±8.54分钟和23.87±5.59次)相比,PMCP组的手术时间更短(34.64±9.88分钟),透视次数更少(35.43±5.46次)(P<0.05):结论:PMCP治疗伴有上终板损伤的骨质疏松性压缩骨折的临床疗效更佳。与PKP相比,PMCP缩短了手术和透视时间,降低了邻近椎体骨折和骨水泥渗漏的风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Percutaneous Mesh-Container-Plasty versus Percutaneous Kyphoplasty in the Treatment of Osteoporotic Compression Fractures with Up-Endplate Injury: A Retrospective Study.

Background: Percutaneous mesh-container-plasty (PMCP), a modified traditional percutaneous kyphoplasty (PKP) technique, is increasingly being used to treat osteoporotic vertebral compression fractures with up-endplate injury. This retrospective study aimed to compare the clinical and radiological results of PKP and PMCP for the treatment of this disease.

Methods: We retrospectively analyzed the medical records of patients with osteoporotic compression fractures and upper endplate injuries treated at our hospital between January 2019 and December 2021. A total of 192 patients who met the inclusion and exclusion criteria were enrolled. Of these, 103 underwent PKP and 89 underwent PMCP. Key outcome measures included surgical safety, clinical efficacy, and radiological results.

Results: Both the PKP and PMCP groups showed significant improvements in visual analog scale and Oswestry Disability Index scores postoperatively. Additionally, anterior vertebral body height ratio and Cobb's angle improved in both groups, though no statistically significant difference was observed between them. The hospital stay duration was similar between the 2 cohorts. Notably, the PMCP group required a larger volume of bone cement injection yet exhibited a significantly lower incidence of cement leakage and adjacent vertebral fractures (9/89 and 2/89, respectively) compared to the PKP group (24/103 and 11/103, respectively) (P < 0.05). Moreover, the PMCP group had shorter operation times (34.64 ± 9.88 minutes) and reduced fluoroscopy frequency (35.43 ± 5.46 instances) compared to the PKP group (27.23 ± 8.54 minutes and 23.87 ± 5.59 instances, respectively) (P < 0.05).

Conclusions: PMCP provided superior clinical outcomes for the management of osteoporotic compression fractures with upper endplate injuries. It was associated with reduced operation and fluoroscopy times, as well as lower risks of adjacent vertebral fractures and cement leakage, compared to PKP.

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来源期刊
World neurosurgery
World neurosurgery CLINICAL NEUROLOGY-SURGERY
CiteScore
3.90
自引率
15.00%
发文量
1765
审稿时长
47 days
期刊介绍: World Neurosurgery has an open access mirror journal World Neurosurgery: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The journal''s mission is to: -To provide a first-class international forum and a 2-way conduit for dialogue that is relevant to neurosurgeons and providers who care for neurosurgery patients. The categories of the exchanged information include clinical and basic science, as well as global information that provide social, political, educational, economic, cultural or societal insights and knowledge that are of significance and relevance to worldwide neurosurgery patient care. -To act as a primary intellectual catalyst for the stimulation of creativity, the creation of new knowledge, and the enhancement of quality neurosurgical care worldwide. -To provide a forum for communication that enriches the lives of all neurosurgeons and their colleagues; and, in so doing, enriches the lives of their patients. Topics to be addressed in World Neurosurgery include: EDUCATION, ECONOMICS, RESEARCH, POLITICS, HISTORY, CULTURE, CLINICAL SCIENCE, LABORATORY SCIENCE, TECHNOLOGY, OPERATIVE TECHNIQUES, CLINICAL IMAGES, VIDEOS
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