| BackgroundWith the aging of the population, vertebral compression fractures caused by osteoporosis have become a common disease which is harmful to the health of the elderly. Complications such as pain, back pain, and deformity of the vertebral body fracture affect the quality of life of patients. Vertebroplasty perculaneous (PVP) has been widely used in the treatment of osteoporotic vertebral compression fractures in recent years. But during the unilateral puncture or bilateral puncture, of bone cement injection effect of quantity, the diffusion of the bone cement situation on the efficacy of such as problems, there are still considerable controversy. To collect the clinical data of our hospital in recent years, analyze the clinical efficacy of two different puncture approaches.ObjectivesThrough the comparative analysis of unilateral and bilateral into the path of the skin centrum forming operation (PVP) in the treatment of osteoporotic vertebral compression fractures (OVCF) clinical efficacy and differences, for osteoporotic vertebral compression fractures the choice of surgical approach to provide a certain basis for clinical statistics.MethodsFrom August 2011 to July 2013, a total of 68 patients with osteoporotic thoracolumbar vertebral compression fractures were retrospectively analyzed. Was treated with PVP (35 patients with 41 vertebral bodies) and 33 patients with 36 cases of vertebral body. The clinical effects of PVP score,24 hours after operation, hours after operation,8 hours after surgery, the VAS score of the anterior and middle height, and the clinical efficacy of s were compared.ResultsAll patients underwent surgery and were followed up. The average operation time was (35.52±8.71) min, bone cement injection volume was (3.4±0.6) ml, and the number of X-ray was (17.42±2.83),4 cases of bone cement leakage,3 cases of vertebral fractures, preoperative the VAS score was (7.63±1.45), after 24 hours the VAS score was (3.32±1.21), after 8 months the VAS score was (1.83±0.42). The anterior height of the injured vertebral body was recovered from (14.72±3.12) mm to24 hours after operation (24.51±2.34) mm, at 8 months after operation was (23.43±1.57) mm; The midline height of injured vertebral body was restored from (16.81±2.73) to 24 hours after operation (24.94±2.15) mm, at 8 months after operation was (24.23±1.24) mm. The local s’Cobb angle was corrected from (25.32°±1.53°) to 24 hours after operation (13.44°±1.23°) at 8 months after operation was (15.35°±1.54°). The average operation time of bilateral approach group was (46.81±7.90) min, bone cement injection volume was (6.2±0.4) ml, the number of intraoperative X-ray was (26.81±4.42), bone cement leakage in 7 cases, vertebral fractures in 5 cases. Preoperative the VAS score was (7.71±1.12), and after 24 hours the VAS score was (3.42±1.18), and after 8 months the VAS score was(1.76±0.38). The anterior height of the injured vertebral body was recovered from (14.56±2.63) mm to (24.39±2.82) 24 hours after operation, at 8 months after operation was (22.64±2.31) mm. The midline height of injured vertebral body was restored from (16.46±2.58) to (24.28±1.72) 24 hours after operation, at 8 months after operation was (24.34±1,.37) mm. The local s’Cobb angle was corrected from (26.14°±1.42°) to (13.26°±1.33°) 24 hours after operation, at 8 months after operation was (15.41°±1.25°). The comparison between the two groups, the operation time, bone cement injection volume, bone cement leakage and intraoperative X-ray, the difference was statistically significant (P<0.05). There was no significant difference in the number of vertebral fractures in the two groups (P<0.05). The difference was statistically significant (P<0.05) in the 24 hours before and after the operation in both groups. There was no significant difference in VAS score between 24 and 8 months after operation (P>0.05). There was significant difference between the 24 hours before and after the injury of vertebral body, middle height and local s’ Cobb angle (P<0.05). There was significant difference between the 24 hours before and after the injury of vertebral body, middle height and local s’Cobb angle (P<0.05).ConclusionSingle and bilateral PVP is a safe and effective treatment of OVCF caused by OVCF, which can obtain satisfactory clinical effect. The treatment of PVP is feasible, and has the advantages of less operative time, less intraoperative X-ray, less bone cement injection, low bone cement permeability, and low rate of adjacent vertebral fractures. |
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