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| Efficacy and Postoperative Complications of PVP and PKP for Osteoporotic Thoracolumbar Compression Fractures under CT Localization |
| LIU Xudong, ZHANG Fangyuan, ZHANG Meng, et al |
| Bozhou People's Hospital, Anhui Bozhou 236800, China |
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Abstract Objective: To investigate the efficacy and postoperative complications of percutaneous vertebroplasty (PVP) and percutaneous kyphoplasty (PVP) under the localization of computed tomography (CT) in the treatment of osteoporotic thoracolumbar compression fractures. Methods: The clinical data of 98 patients with osteoporotic thoracolumbar compression fracture admitted to our hospital from February 2020 to June 2021 were retrospectively analyzed. According to different surgical methods, they were divided into PVP group (47 cases) and PKP group (51 cases). The general operation conditions of the two groups, the vertebral height, Cobb angle, visual analog scale (VAS) and Barthel index evaluation scale of the two groups were compared before and 3 days after operation, and the complications of the two groups were observed. Result: The operative time, hospital stay and bone cement injection amount in PVP group were lower than those in PKP group, P<0.05; 3 days after operation, the vertebral body height of both groups increased and PKP group was higher than PVP group, Cobb Angle of both groups decreased and PKP group was lower than PVP group; preoperative and postoperative 3d vertebral height and Cobb Angle difference in PKP group were higher than those in PVP group (P<0.05). 3 days after surgery, VAS scores of both groups decreased and PKP group was lower than PVP group, Barthel index scores of both groups increased and PKP group was higher than PVP group; the difference values of 3dVAS score and Barthel index score in PKP group before and after surgery were higher than those in PVP group, P<0.05; the total complication rate of PKP group was 7.84% lower than that of PVP group 17.02%, P>0.05. Conclusion: Both CT-guided PKP and PVP have ideal effects and high safety in the treatment of osteoporotic thoracolumbar compression fractures. However, compared with CT-guided PVP, CT-guided PKP can improve the patient's vertebral body condition and reduce pain, which is worthy of clinical reference.
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[1] Wang B,Cao J,Chang J,et al.Effectiveness of Tirobot-assisted vertebroplasty in treating thoracolumbar osteoporotic compression fracture[J].Orthop Surg Res,2021,16(1):65.
[2] 李耀,吴爱悯,林焱,等.骨质疏松性胸腰椎压缩骨折椎体成形术后残余背痛影响因素的研究进展[J].中华创伤杂志,2021,37(10):955-960.
[3] 甘琨生,王现海,李晓斐,等.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,2020,35(3):260-262.
[4] 王静霞,陈小峰,范云武,等.CT引导下水针刀靶向微创治疗腰椎横突综合征临床研究[J].介入放射学杂志,2022,31(4):364-368.
[5] 周静,刘芳,周明超,等.一种新型日常生活活动能力量表与Barthel指数-5项在康复科中应用的特征比较[J].中国康复医学杂志,2021,36(12):1529-1534.
[6] 胡浩,曹开学,黄攀,等.超高龄骨质疏松性胸腰椎压缩骨折经皮椎体成形术术后邻椎再骨折的危险因素分析[J].中国骨伤,2022,35(8):710-714.
[7] 秦涛,王涛,赵刚,等.OVCFs患者PKP与PVP手术前后的影像学对比[J].现代科学仪器,2021,38(3):122-127.
[8] 郑益钒,杨思宇,汪国栋,等.3D导航与C型臂X线机透视下经皮双节段长骶髂关节螺钉内固定治疗骨盆后环损伤的疗效比较[J].中华创伤骨科杂志,2021,23(12):1037-1043.
[9] 权祯,张晓刚,秦大平,等.基于CT影像的骨质疏松性胸腰椎压缩骨折PKP术后三维有限元力学模型的建立与验证[J].中国医学物理学杂志,2021,38(3):360-369. |
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2023, Vol. 29 
