Abstract
ObjectiveTo investigate the clinical effect of precise puncture and low-dose bone cement in percutaneous vertebroplasty (PVP).MethodsSixty patients with osteoporotic vertebral compression fracture (OVCFs) who were treated with PVP in our hospital from July 2018 to June 2019. These included patients were divided into group A (N = 30) and group B (N = 30). Group A has punctured to the fracture area accurately and injected with a small dose of bone cement, the group B was injected with a conventional dose of bone cement. The operation time, the amount of bone cement injection, the number of X-rays, the VAS scores, the leakage rate of bone cement, and the incidence of adjacent vertebral fractures were compared between the two groups.ResultThe operation time, fluoroscopic times, and bone cement volume in group A are less than that in group B (P < 0.05). Patients in group A had a lower incidence of cement leakage and adjacent vertebral fracture than that in patients in group B. There was no significant difference in postoperative pain relief between the two groups.ConclusionsPrecise puncture and injection of small doses of bone cement can reduce the number of X-ray fluoroscopy, operation time, amount of bone cement injection, reduce the rate of bone cement leakage and the incidence of adjacent vertebral fractures, which is a safe and effective surgical approach for the treatment for the aged with OVCFs.
Highlights
With the aging of society, the treatment of osteoporosis has become a significant issue [1]
The injection of a large amount of bone cement restores the height of the vertebral body, it increases the possibility of bone cement leakage, and postoperative pain relief was not significantly associated with bone cement injection [7]
The purpose of this study is to investigate the safety and effectiveness of this new surgical approach
Summary
With the aging of society, the treatment of osteoporosis has become a significant issue [1]. One of the most common complications of osteoporosis is osteoporotic vertebral compression fractures (OVCFs), especially in the. PVP was first performed for the treatment of a hemangioma in 1984 by Galibert and Deramond [4] This invasive procedure involves augmentation of the OVCFs using a cannula injection of cement into the vertebral body directly under the perspective of imaging. PVP assisted by preoperative computed tomography and intraoperative X-ray, we can accurately penetrate the guide needle into the vertebral fracture area, and we injected a small-dose of bone cement in the fracture area. We called this new approach as the targeted PVP. The purpose of this study is to investigate the safety and effectiveness of this new surgical approach
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