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| Comparison Between CVP、UVP and Traditional Bilateral PVP Surgery for Osteoporotic Vertebral Compression Fracture |
| LI Facan, CHEN Miao, WANG Jun, et al |
| The First Affiliated Hospital of Kunming Medical University, Yunan Kunming 650000, China |
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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.
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[1] Kwok T, Choy D. A case for osteoporosis screening and treatment in older people to prevent hip fracture[J]. Xianggang Yi Xue Za Zhi, 2017, 23(4):421.
[2] Sadat-Ali M, Alanii F M. Long-term use of bisphosphonates in osteoporosis[J]. Saudi Medical Journal, 2017, 38(8):873~874.
[3] 孙海波,景晓珊,唐海,等.经椎弓根外单侧穿刺法行PVP治疗骨质疏松性椎体压缩骨折的前瞻性研究[J].国际外科学杂志,2019,46(11):738~743.
[4] Lim J, Choi S W, Youm J Y, et al. Posttraumatic delayed vertebral collapse :, kummell's disease[J]. journal of korean neurosurgical society, 2018, 61(1):1~9.
[5] Wu J, Guan Y H, Fan S L. Risk factors of non-surgical vertebral fracture after percutaneous kyphoplasty of single segment thoracolumbar fracture[J]. Zhongguo Gu Shang, 2017, 30(9):833~837.
[6] 王华祥,王双全.单侧弯角椎体成形术对骨质疏松性椎体压缩骨折的治疗效果[J].检验医学与临床,2019,16(17):2490~2492.
[7] 郭瑞,王宥涵,昌震,等.按不同损伤分级治疗陈旧性胸腰椎骨质疏松性椎体压缩骨折的疗效[J].中华创伤杂志,2019,35(8):700~707.
[8] 王春虎,莫南文,莫方良,等.壮骨汤联合合经皮椎体后凸成形术治疗老年性骨质疏松性脊柱压缩性骨折的临床疗效及对患者骨代谢的影响[J].世界中医药,2019,14(5):1262~1265.
[9] 周宏,马仁超.弯角椎体成形术与传统PVP手术治疗骨质疏松性椎体压缩骨折的疗效对比[J].颈腰痛杂志,2019,40(2):194~196.
[10] 居家宝,张培训.PVP与PKP治疗新鲜骨质疏松性椎体压缩骨折的有效性及安全性分析[J].实用骨科杂志,2019,25(10):865~869. |
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2020, Vol. 26 
