Treatment of osteoporotic vertebral compression fractures by unilateral puncture through the posterior outer upper part of the vertebral body

Abstract

Objective: To comprehensively analyze the effect of unilateral and bilateral puncture in the treatment of osteoporotic vertebral compression fractures (OVCFs).Methods: The main subjects of this study were: OVCFs patients (a total of 100 cases, starting from October 2020 and ending from October 2021). According to the different treatment methods, two groups (50 cases in each group) were named, one group was the control group (applying bilateral puncture treatment through the vertebral body), the other group was the experimental group (unilateral puncture treatment through the vertebral body).Results: Compared with the control group, the operation time of the experimental group was shorter, P < 0.05; Compared with the control group, the amount of intraoperative blood loss in the experimental group was less, P < 0.05; Compared with the control group, the amount of bone cement filling and X-ray exposure in the experimental group were significantly less, P < 0.05; Compared with the control group, there was no difference in bone cement leakage rate in the experimental group (P > 0.05). Before treatment, compared with the control group, there were no differences in Cobb Angle, pain degree score, spinal dysfunction score and quality of life score between the experimental group and the control group, P > 0.05; After treatment, compared with the control group, the quality of life score of the experimental group was higher, P < 0.05; Compared with the control group, the Cobb Angle, pain degree score and spinal dysfunction score of the injured vertebrae in the experimental group were lower, P < 0.05.Conclusion: Unilateral puncture through posterior and upper vertebral body is more effective than bilateral puncture in OVCFs patients.