Department of Orthopaedics, The First Affiliated Hospital of Soochow University, Suzhou 215006, China.
Orthopaedic Institute, Medical College, Soochow University, Suzhou 215000, China.
Int J Clin Pract. 2022 Jun 26;2022:7500716. doi: 10.1155/2022/7500716. eCollection 2022.
A large number of people suffer from osteoporotic vertebral compression fractures (OVCFs) worldwide. Percutaneous kyphoplasty (PKP), considered a minimally invasive surgery, has been widely used to treat OVCFs and achieves satisfactory outcomes. However, the surgical timing of PKP is still under discussion.
A total of 149 patients were enrolled in the study and were divided into 3 groups according to different surgical timing. Group A ( = 52) included patients who required emergency surgery. Group B ( = 50) included patients who required surgery around a week after injury. Group C ( = 47) included patients who required surgery a month or more after injury. Characteristics of patients and radiological images were recorded. The Visual Analog Scale (VAS) scores and the Oswestry Disability Index (ODI) scores were analyzed before, 1 day, 1 month, and 6 months after surgery. In addition, compression rates of anterior vertebral height (AVH) were calculated and the kyphosis Cobb angle was measured before and after surgery.
There was a significant difference in the VAS and ODI scores between the three groups at 1 day, 1 month, and 6 months after PKP. The VAS and ODI scores of Group C were higher than those of Groups A and B. The AVH compression rates of Group C were significantly higher than those of Groups A and B postoperatively 1 day, 1 month, and 6 months. The kyphosis Cobb angles in Group C was significantly larger than those in Groups A and B at 1 day and 1 month after PKP.
Emergency PKP showed more advantages in both clinical and radiological outcomes. We recommend early PKP for the treatment of OVCFs.
全世界有大量的人患有骨质疏松性椎体压缩性骨折（OVCFs）。经皮椎体后凸成形术（PKP）被认为是一种微创手术，已被广泛用于治疗 OVCFs 并取得了满意的效果。然而，PKP 的手术时机仍在讨论中。
共纳入 149 例患者，根据不同的手术时机分为 3 组。A 组（n=52）包括需要急诊手术的患者。B 组（n=50）包括受伤后一周内需要手术的患者。C 组（n=47）包括受伤后一个月或更长时间需要手术的患者。记录患者的特征和影像学图像。在手术前、手术后 1 天、1 个月和 6 个月时分析视觉模拟评分（VAS）和 Oswestry 残疾指数（ODI）评分。此外，计算术前和术后前椎体高度（AVH）的压缩率，并测量后凸 Cobb 角。
PKP 后 1 天、1 个月和 6 个月时，三组间 VAS 和 ODI 评分均有显著差异。C 组的 VAS 和 ODI 评分在术后 1 天、1 个月和 6 个月时均高于 A 组和 B 组。术后 1 天、1 个月和 6 个月时，C 组 AVH 压缩率明显高于 A 组和 B 组。PKP 后 1 天和 1 个月时，C 组的后凸 Cobb 角明显大于 A 组和 B 组。
急诊 PKP 在临床和影像学结果方面更具优势。我们建议早期进行 PKP 治疗 OVCFs。
