Effect of unilateral PVP on vertebral height recovery and the degree of pain score after surgery in patients with OVCF
CUI Zhiyuan1 MAO Zhaohu2 LIU Yulin1 WANG Guoxi1
1.Department of Orthopedics, Taizhou Second People’s Hospital, Jiangsu Province, Taizhou 225500, China;
2.Department of Orthopedics, the 960th Hospital of Joint Logistics Support Force of PLA, Shandong Province, Ji’nan 250000, China
Abstract：Objective To investigate the recovery of vertebral height and the degree of pain after unilateral percutaneous vertebroplasty (PVP) for osteoporotic vertebral compression fracture (OVCF). Methods A total of 84 patients with thoracolumbar single vertebral body OVCF who received PVP treatment in Taizhou Second People’s Hospital, Jiangsu Province from September 2016 to September 2019 were selected. According to the surgical approach, they were divided into unilateral group and bilateral group, including 48 cases in unilateral group and 36 cases in bilateral group. The surgical time, surgical fluoroscopy times and the amount of bone cement injection were compared between the two groups. The changes of visual analogue score (VAS), Oswestry disability index (ODI), vertebral height and Cobb angle were compared between the two groups before and three days after surgery and one year after surgery. Results The times of surgical X-ray fluoroscopy in unilateral group was less than that in bilateral group, and the amount of bone cement injection was lower than that in bilateral group, with statistical significance (all P ＜ 0.05). There were statistically significant differences in VAS and ODI scores between the two groups before and three days after surgery, and one year after surgery, as well as at time points (P ＜ 0.05). Further pairwise comparison showed that VAS and ODI scores at three days and one year after surgery were lower than those before surgery, and one year after surgery were lower than those at three days after surgery, with statistical significance (all P ＜ 0.05). VAS and ODI scores of the unilateral group were lower than those of the bilateral group at the same time point, and the differences were statistically significant (all P ＜ 0.05). There were statistically significant differences in the time point comparison and interaction of vertebral height, Cobb angle between the two groups before and three days and one year after surgery (P ＜ 0.05). Further pairwise comparison: the vertebral height at three days and one year after surgery in both groups was higher than before surgery, Cobb angle was lower than before surgery, and the vertebral height at one year after surgery was lower than three days after surgery, Cobb angle was greater than three days after surgery, the differences were statistically significant (all P ＜ 0.05). Conclusion Both unilateral and bilateral PVP were used in the treatment of OVCF, and the unilateral approach was more advantageous than the bilateral approach in terms of surgry time and number of X-ray fluoroscopy.
崔志远1 毛兆虎2 刘玉林1 王国喜1. 单侧PVP术对OVCF术后椎体高度恢复及疼痛程度的效果研究[J]. 中国医药导报, 2021, 18(18): 92-95.
CUI Zhiyuan1 MAO Zhaohu2 LIU Yulin1 WANG Guoxi1. Effect of unilateral PVP on vertebral height recovery and the degree of pain score after surgery in patients with OVCF. 中国医药导报, 2021, 18(18): 92-95.
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