| [OBJECTIVE]: To explore the clinical application value of optical and magnetic navigation system assisted percutaneous vertebroplasty in the treatment of new severe osteoporotic thoracolumbar compression fractures.[Methods]: A retrospective analysis of 57 patients undergoing percutaneous balloon dilatation vertebroplasty in our hospital from June 2020 to December 2020 were divided into two groups: optical and magnetic navigation group and fluoroscopy group according to different auxiliary puncture methods.Intraoperative puncture time,puncture times,fluoroscopy times,fluoroscopy duration,bone cement filling amount,operation time,preoperative and postoperative VAS scores,and patient satisfaction were recorded in the two groups of patients;X-ray and CT examinations were performed after operation,and analyzed Changes in the height of the anterior edge of the vertebral body and changes in the volume of the vertebral body.[Results]: A total of 28 patients were enrolled in the optical and magnetic navigation group,including 8 males and 20 females.A total of 28 vertebrae were punctured unilaterally,including 21 thoracic vertebrae and 7 lumbar vertebrae.A total of 29 patients were included in the fluoroscopy group,including 7 males and 22 females.A total of 29 vertebral bodies were punctured,including 22 thoracic vertebrae and 7lumbar vertebrae.The number of fluoroscopy,fluoroscopy time,and intraoperative puncture times of percutaneous vertebroplasty assisted by photomagnetic navigation are less than those of the fluoroscopy group,and it has advantages in terms of the height and volume of the anterior edge of the vertebral body and the amount of bone cement filling.Patients have better surgical experience and high satisfaction in Opto-magnetic navigation group.[Conclusion]: Compared with traditional fluoroscopy,the percutaneous vertebroplasty assisted by the Opto-magnetic navigation system is safe and effective in the treatment of lumbar osteoporotic vertebral compression fractures,and can be promoted clinically and used to treat osteoporotic thoracolumbar spine compression fracture. |
