Bai Ming, Yin Heping, Zhao Jian, Li Yang, Yang Yongdong, Wu Yimin
Department of Minimally Invasive Spinal Surgery of the Second Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010030, China.
Inner Mongolia Medical University, Hohhot 010030, China.
Regen Biomater. 2017 Aug;4(4):251-255. doi: 10.1093/rb/rbx019. Epub 2017 Aug 4.
We investigated the feasibility of applying polymethylmethacrylate bone cement composited with biomimetic bone-mineralizsed collagen to percutaneous kyphoplasty (PKP). We performed PKP in 95 patients diagnosed with osteoporotic vertebral compression fracture. All patients had fractures of a single vertebral body, and they were divided randomly into control (group A, 47 patients) and experimental (group B, 48 patients) groups. Patients in group A were treated with acrylic cement, and those in group B were treated with acrylic cement composited with the bone graft material. All patients were evaluated by a visual analogue scale (VAS), Oswestry disability index (ODI), Cobb angle and anterior vertebral body height preoperatively, and 3 days and 3 months postoperatively. All patients successfully completed surgery and were followed up thereafter. The VAS score, ODI index, Cobb angle and anterior vertebral body height compression rate in both groups had significant changes ( < 0.05) preoperatively, and at 3 days and 3 months postoperatively. There was no significant difference between the two groups at different times ( > 0.05). The analgesic effects of bone cement composited with bone-mineralized collagen are similar to those of bone cement only. Mineralized collagen has excellent promotion prospects by inducing new bone formation and reducing the incidence of adverse reactions caused by bone cement.
我们研究了将与仿生骨矿化胶原蛋白复合的聚甲基丙烯酸甲酯骨水泥应用于经皮椎体后凸成形术(PKP)的可行性。我们对95例诊断为骨质疏松性椎体压缩骨折的患者进行了PKP。所有患者均为单一椎体骨折,随机分为对照组(A组,47例患者)和试验组(B组,48例患者)。A组患者接受丙烯酸骨水泥治疗,B组患者接受与骨移植材料复合的丙烯酸骨水泥治疗。所有患者在术前、术后3天和3个月时均通过视觉模拟评分法(VAS)、Oswestry功能障碍指数(ODI)、Cobb角和椎体前缘高度进行评估。所有患者均成功完成手术并随后接受随访。两组患者的VAS评分、ODI指数、Cobb角和椎体前缘高度压缩率在术前、术后3天和3个月时均有显著变化(<0.05)。两组在不同时间点无显著差异(>0.05)。与骨矿化胶原蛋白复合的骨水泥的镇痛效果与单纯骨水泥相似。矿化胶原蛋白通过诱导新骨形成和降低骨水泥引起的不良反应发生率具有良好的推广前景。