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| Application of accurate fracture line injection vertebroplasty in vertebral osteoporotic fracture |
| FANG Junying, YAN Yanqiang |
| Department of Orthopedics, PKUCare Zibo Hospital Orthopaedic,Zibo 255069, P.R.China |
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Abstract Objective To compare the clinical effect between traditional percutaneous vertebroplasty(PVP)and precise fracture line puncture vertebroplasty in the treatment of osteoporotic vertebral compression factures (OVCFs).Methods A retrospective controlled study was designed to review 112 cases of single level OVCFs hospitalized from January 2015 to October 2017.The patients were divided into the observation group and the control group according to random number table method, with 56 cases in each group.The control group was treated with conventional vertebroplasty , and the observation group was treated with precise fracture line puncture. Visual analogue score (VAS) were performed before the surgery and at 1 d,3 d after surgery.Operating time,cement injection volume,rate of cement leakage,cement distribution in the fractured area and VAS of back pain were compared between the two groups.Results At 1 d、3 d after surgery, the VAS of the observation group was significantly lower than that in the control group(P<0.05). In the observation group, the fracture area was filled with sufficient bone cement, and 8 cases in the control group showed insufficient filling. The difference was statistically significant (P<0.05). There were no significant differences in operating time, cement injection volume and rate of cement leakage between the two groups(P>0.05). Conclusion Compared with traditional percutaneous vertebroplasty, precise fracture line puncture vertebroplasty can ensure the full filling of bone cement in the fracture area and reduce the occurrence of poor postoperative efficacy. It is a safe and effective new technology.
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Received: 04 September 2018
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[1] 江晓兵,萸凌,梁德,等.骨水泥在椎体骨折线内弥散情况对椎体成形术治疗效果的影响[J].中国脊柱脊髓杂志,2014,24(2):144-149.
[2] 叶林强,梁德,姚珍松,等.靶向椎体成形术与传统椎体成形术治疗骨质疏松性椎体压缩骨折的疗效比较[J].中华创伤杂志,2017,33(3):247-252.
[3] 张伟,杨惠杰.麻醉苏醒室患者应用镇痛药物的观察分析及护理评价[J].中国卫生产业,2014,33(12):93-95.
[4] 高亮亮,黄权,孙正望,等. 高粘度骨水泥PVP与PKP治疗骨质疏松性胸腰椎压缩骨折的疗效比较[J].中国骨与关节损伤杂志,2017,32(7):738-739.
[5] 李永超,饶伟萍,官安红,等. 单侧PVP治疗高龄骨质疏松性胸腰椎压缩骨折的临床研究[J].中国骨与关节损伤杂志,2017,32(1):22-24.
[6] McConnell C T, Wippold F J, Ray C E,et a1.ACR appropriateness criteria management of vertebral compression fractures[J]. J Am Coil Radiol, 2014,11(8):757-763.
[7] 虞立,刘磊,刘光旺,等. 经皮椎体后凸成形术后椎体高度与临床疗效的相关性研究[J].中国骨与关节损伤杂志,2016,33(11):1128-1131. |
| [1] |
ZHANG Shouqiang, DOU Yongfeng, LI Jianjun, HU Peng, FU Guoyong, XING Jianqiang, WANG Guanglin, GENG Xiaopeng. Effect analysis of cortical bone trajectory screw for osteoporotic lumbar degenerative disease[J]. 滨州医学院学报, 2019, 42(4): 263-266. |
| [2] |
. [J]. 滨州医学院学报, 2019, 42(2): 149-150. |
| [3] |
XU Leixing, LI Renzhong, ZHANG Chunli, AN Chenggong, YU Jicheng, CHENG Hui, SUN Hao, GUO Xiangkun. The clinical experience of open reduction and internal fixation for the treatment of 12 talar fracture-dislocation[J]. 滨州医学院学报, 2018, 41(5): 365-368. |
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