Effect of transcutaneous unilateral vertebroplasty in the treatment of osteoporotic vertebral compression fractures

Abstract

Objective To analyze the efficacy of transcutaneous unilateral vertebroplasty in the treatment of osteoporotic vertebral compression fractures. Methods 90 cases (113 vertebrae) with osteoporotic vertebral compression fractures were treated, and the patients were treated with minimally invasive percutaneous unilateral vertebroplasty.The follow-up time was 6 months, and the changes of VAS pain score, Cobb angle and adverse reactions were analyzed. Results The VAS scores of postoperative 7d and 30d were (2.02±0.11)points and (1.11±0.36)points, respectively, which were significantly lower than before treatment [(5.38±1.72)points, t=18.494 and 23.051, all P 0.05). There were 15 cases (16.67%) of postoperative leakage of bone cement, 5 cases died after operation, including 2 cases of pulmonary embolism, 1 case of cardiogenic diseases, 2 cases of cerebrovascular related diseases.6 months after surgery, review X-ray was lateral radiographs, the results showed that adjacent vertebral compression fractures in 1 case, accounting for 1.11%. Conclusion The patients with osteoporotic compression fractures treated by unilateral vertebroplasty minimally invasive surgery can effectively relieve pain and cause some vertebral bodies to return to normal height and reduce the risk of vertebral instability. Key words: Osteoporosis; Fractures, compression; Vertebroplasty