The Second Affiliated Hospital of Xuzhou Medical University, Department of Orthopedics, 221000, Xuzhou, Jiangsu, China.
Turk Neurosurg. 2024;34(3):461-467. doi: 10.5137/1019-5149.JTN.43749-23.2.
To compare the efficacy and feasibility of target area cement-enhanced percutaneous vertebroplasty (PVP) and conventional PVP in osteoporotic thoracolumbar non-total vertebral fractures.
Retrospective analysis of one hundred and two patients treated in our hospital from March 2020 to May 2021 and divided into groups A (targeted) and B (conventional PVP). The Visual Analogue Scale (VAS), Oswestry Disability Index (ODI), anterior vertebral height ratio, intraoperative bleeding, operative time, bone cement volume, complications, and refracture of the injured vertebra were evaluated in both groups.
The 2 days and 1-year post-operative VAS and ODI scores improved significantly in both groups (p < 0.05). The 2 days post-operative VAS and ODI scores were better in group A (p < 0.05), and there was no significant difference in the scores between the groups at the last follow-up (p > 0.05). The anterior vertebral height ratios were significantly higher in both groups 2 days postoperatively (p < 0.05); however, there was no significant difference in the 2 days and 1-year post-operative ratios in group A (p > 0.05). The anterior vertebral height ratio reduced in group B after 1 year compared to the 2 days post-operative value (p < 0.05). There was no statistical difference in intraoperative bleeding and the operative time between the groups (p > 0.05), and the bone cement volume was lesser in group A (p < 0.05). Six patients in group A and four patients in group B demonstrated cement leakage, the difference was not statistically significant (p > 0.05). Three patients in group A and 11 patients in group B demonstrated refracture, the difference was statistically significant (p < 0.05).
Target area cement-enhanced PVP can effectively relieve short-term pain and functional disability and reduce the long-term possibility of secondary collapse. Therefore, it is a technically feasible and efficacious method for the treatment of osteoporotic thoracolumbar non-total vertebral fractures.
比较靶向区域骨水泥增强经皮椎体成形术（PVP）与常规 PVP 治疗骨质疏松性胸腰椎非全椎体骨折的疗效和可行性。
回顾性分析 2020 年 3 月至 2021 年 5 月我院收治的 102 例患者，分为 A 组（靶向）和 B 组（常规 PVP）。评估两组患者视觉模拟评分（VAS）、Oswestry 功能障碍指数（ODI）、伤椎前缘高度比、术中出血量、手术时间、骨水泥体积、并发症和伤椎再骨折情况。
两组患者术后 2 天和 1 年的 VAS 和 ODI 评分均明显改善（p<0.05）。A 组术后 2 天 VAS 和 ODI 评分更好（p<0.05），末次随访时两组评分无统计学差异（p>0.05）。两组术后 2 天伤椎前缘高度比均明显升高（p<0.05）；但 A 组术后 2 天和 1 年的高度比无统计学差异（p>0.05）。B 组术后 1 年伤椎前缘高度比较术后 2 天下降（p<0.05）。两组术中出血量和手术时间无统计学差异（p>0.05），A 组骨水泥体积较少（p<0.05）。A 组 6 例和 B 组 4 例发生骨水泥渗漏，差异无统计学意义（p>0.05）。A 组 3 例和 B 组 11 例发生再骨折，差异有统计学意义（p<0.05）。
靶向区域骨水泥增强 PVP 可有效缓解短期疼痛和功能障碍，降低远期继发塌陷的可能性，是治疗骨质疏松性胸腰椎非全椎体骨折的一种技术可行且有效的方法。
