Department of Orthopedics, Guizhou Provincial People's Hospital, Guiyang 550002, China.
Department of Cardres, Guizhou Provincial People's Hospital, Guiyang 550002, China.
Dis Markers. 2022 Aug 2;2022:5029679. doi: 10.1155/2022/5029679. eCollection 2022.
To investigate the clinical application of bone filling mesh container vertebroplasty in osteoporotic vertebral compression fractures (OVCFs).
Patients with OVCF from October 2018 to April 2020 were selected. Patients in the control and study groups underwent percutaneous kyphoplasty (PKP) and bone filling mesh container vertebroplasty, respectively. The Oswestry Disability Index (ODI), Japanese Orthopaedic Association (JOA), visual analog scale (VAS) scores before and after surgery, and the incidence of complications were compared between the two groups.
The operation time and fluoroscopy time of the study group were significantly lower than those of the control group ( < 0.05). There was no significant difference in the injection volume of bone cement between the study group and the control group ( > 0.05). There was no significant difference in Cobb angle between the two groups. Three months after the operation, the height of the anterior edge increased and the Cobb angle decreased in the two groups ( < 0.05), but there was no significant difference in the height of the anterior edge and the Cobb angle between the two groups ( > 0.05). The JOA scores increased, while the ODI and VAS scores decreased in both groups after surgery ( < 0.05). There was no significant difference in the total effective rate between the study group (96.15%) and the control group (92.31%) ( > 0.05). The incidence of complications in the study group (3.85%) was significantly lower than that in the control group (15.38%) ( < 0.05).
For the treatment of OVCFs, bone filling mesh container vertebroplasty is comparable to PKP in terms of functional recovery, but it can safely reduce operative time, fluoroscopy time, and complication rates.
探讨骨填充网袋容器骨水泥椎体成形术在骨质疏松性椎体压缩性骨折（OVCF）中的临床应用。
选取 2018 年 10 月至 2020 年 4 月收治的 OVCF 患者，分别行经皮椎体后凸成形术（PKP）和骨填充网袋容器骨水泥椎体成形术治疗。比较两组患者术前、术后的 Oswestry 功能障碍指数（ODI）、日本骨科协会（JOA）评分、视觉模拟评分（VAS）及并发症发生率。
研究组手术时间和透视时间明显短于对照组（<0.05），骨水泥注射量与对照组比较差异无统计学意义（>0.05），两组患者的 Cobb 角比较差异无统计学意义（>0.05）。术后 3 个月，两组患者的前缘高度增加，Cobb 角减小（<0.05），但两组患者的前缘高度和 Cobb 角比较差异无统计学意义（>0.05）。两组患者术后 JOA 评分升高，ODI 和 VAS 评分降低（<0.05）。研究组总有效率（96.15%）与对照组（92.31%）比较差异无统计学意义（>0.05）。研究组并发症发生率（3.85%）明显低于对照组（15.38%）（<0.05）。
骨填充网袋容器骨水泥椎体成形术治疗 OVCF 与 PKP 相比，在功能恢复方面相当，但可安全减少手术时间、透视时间和并发症发生率。
