Volume 29, Issue 3
DOI: 10.24205/03276716.2020.743
Effect of unilateral vertebral cement injection into PVP for osteoporotic vertebral compression fractures
Abstract
Objective: To investigate the effect of PVP injection of unilateral vertebral cement on fractures in the compression of osteoporotic vertebrals.
Methods: From October 2017 to October 2018, 126 patients with osteoporotic vertebral compression fractures in our hospital were selected as the research subjects, and random number expression was used to divide them into study group and control group, each with 63 cases. In the research group, unilateral vertebral bone cement was injected into PVP, and in the control group, bilateral vertebral bone cement was injected into PVP. The amount of bone cement injection, operation time, X-ray irradiation time, length of hospital stay, and bone cement leakage rate were compared between the two groups of patients. The vertebral height of the lesion before and after surgery, Cobb angle of kyphosis, and Oswestry dysfunction index (ODI) were compared. Pain visual analogue scale (VAS) was used.
Results: Compared with the control group, the study group had less bone cement injection, shorter operation time, shorter X-ray irradiation time, and shorter hospital stay. The disparity were very important. There was no fully important difference between the two classes in the leakage rate of postoperative cement (P > 0,05). There was no substantial difference between the two classes in vertebral height, Cobb angle kyphosis, and ODI after surgery. The VAS scores in the two groups at 1 day and 12 months behind operation were considerably lower than those before surgery and the difference was statistically important; nevertheless, the two groups' VAS scores were at 1 day, 3, 6, and 12 months after surgery. No arithmetical importance was given.
Conclusion: PVP injection of vertebral body with unilateral bone cement is effective in treating osteoporotic important solidity fractures and has the advantages of less injection of bone cement, shorter postoperative time, and X-ray irradiation time.
Keywords
osteoporosis; vertebral compression fracture; percutaneous vertebroplasty; unilateralï¼›