Comparison of effects of manual reduction combined with percutaneous curved vertebroplasty and pure percutaneous kyphoplasty in the treatment of osteoporotic vertebral compression fractures
ZHANG Ning1 CAI Fei2 LI Changhong3 WANG Fei3
1.Department of Spinal Surgery, the First Hospital Yulin（The Second Affiliated Hospital of Yan’an University）, Shaanxi Province, Yulin 719000, China; 2.Department of Hand and Foot Surgery, the First Hospital Yulin（The Second Affiliated Hospital of Yan’an University）, Shaanxi Provinec, Yulin 719000, China;
3.Department of Spinal Surgery, Affiliated Hospital of Yan’an University, Shaanxi Province, Yan’an 716000, China
Abstract：Objective To compare the clinical effects of manual reduction combined with percutaneous curved vertebroplasty (PCVP) and pure percutaneous kyphoplasty (PKP) in the treatment of osteoporotic vertebral compression fractures (OVCF). Methods A total of 97 fresh single-segment OVCF patients admitted in the Department of Spinal Surgery, the First Hospital Yulin from January 2019 to January 2020 were selected. According to different treatment methods, they were divided into observation group and control group, 47 cases in observation group were treated with manual reduction combined with PCVP, and 50 cases in control group were treated with PKP alone. The operative time, intraoperative C-arm fluoroscopy times, treatment related costs, amount of bone cement, bone cement leakage rate, and distribution of bone cement in the vertebral body were recorded between the two groups. Preoperative and postoperative anterior edge height (AVH), cabbose Cobb angle, visual analog scale (VAS) score, and Oswestry dysfunction index (ODI) score were compared. Results The operation time, the number of C-arm fluoroscopy and the cost of treatment of the observation group were less than that of the control group, and the differences were statistically significant (P ＜ 0.05). The amount of bone cement in the observation group was greater than that in the control group, and the distribution of bone cement was better than that in the control group, the differences were statistically significant (P ＜ 0.05). There was no significant difference in the leakage rate of bone cement between the two groups (P ＞ 0.05). Compared before surgery, there were statistically significant differences in AVH, Cobb angle, VAS score and ODI score between the two groups after surgery (P ＜ 0.05); there were no significant differences in AVH, Cobb angle, VAS score and ODI score between the two groups before and after surgery (P ＞ 0.05). Conclusion Manipulation reduction combined with PCVP and PKP alone in the treatment of OVCF can reduce the injured vertebrae and improve the kyphosis, but compared with PKP, it can save the operation time, reduce the number of intraoperative C-arm fluoroscopy, and save the treatment cost.
张宁1 蔡飞2 李长红3 王飞3. 手法复位结合弯角经皮椎体成形术与单纯经皮椎体后凸成形术治疗骨质疏松性椎体压缩性骨折的效果比较[J]. 中国医药导报, 2021, 18(21): 79-83.
ZHANG Ning1 CAI Fei2 LI Changhong3 WANG Fei3. Comparison of effects of manual reduction combined with percutaneous curved vertebroplasty and pure percutaneous kyphoplasty in the treatment of osteoporotic vertebral compression fractures. 中国医药导报, 2021, 18(21): 79-83.
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