Abstract：Objective: To compare the effect of CVP, unilateral pedicle approach (UVP) and traditional bilateral percutaneous vertebroplasty (PVP) in the treatment of osteoporotic vertebral compression fracture. Methods: From January 2017 to December 2019, 150 patients with osteoporotic vertebral compression fracture were selected and divided into group A, group B and group C by random number table method. Group A was treated by CVP surgery, group B by UVP surgery, and group C by traditional bilateral surgery. To observe the difference of clinical efficacy in the three groups, and to compare the difference of operation time, intraoperative bleeding volume, hospitalization time and the incidence of postoperative complications in the three groups. Results: The clinical efficacy of three groups were 92.0%,90.0% and 88.0% respectively, with no significant difference(P>0.05). There were significant differences in operating time and intraoperative bleeding volume between the three groups(P<0.05). The operating time and blood loss in group A were significantly lower than those in groups B and C (P<0.05). Group A had significantly shorter hospital stays than group B (P<0.05). The operating time, blood loss and hospital stay in group B were significantly lower than those in group C (P<0.05). The incidence of postoperative bone cement leakage in group A, group B and group C was 0%, 2% and 4%, respectively, and there was no statistically significant difference in the incidence of postoperative complications among the three groups(P>0.05). Conclusion: CVP、UVP and PVP have similar efficacy in clinical treatment of osteoporotic vertebral compression fracture, but the safety of CVP is significantly higher than that of UVP and PVP surgery, which is worthy of popularization and use.
李发灿, 陈淼, 王均, 李骅. CVP UVP与传统双侧PVP手术治疗骨质疏松性椎体压缩骨折效果比较[J]. 河北医学, 2020, 26(12): 2040-2043.
LI Facan, CHEN Miao, WANG Jun, et al. Comparison Between CVP、UVP and Traditional Bilateral PVP Surgery for Osteoporotic Vertebral Compression Fracture. HeBei Med, 2020, 26(12): 2040-2043.
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2020, Vol. 26 
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