[Clinical research of traditional bone-setting and target puncture techniques in percutaneous vertebroplasty for osteoporotic vertebral compression fractures].

• DOI: 10.12200/j.issn.1003-0034.20231045
• Publication Date: 2025-02-25
• Authors: Zhe Wu; Jianliang Chen; Yingzhou Li; Yong Xu
• Keywords: Percutaneous Vertebroplasty; Vertebral Compression Fracture

To compare the bone cement diffusion and clinical effects between conventional percutaneous vertebroplasty(PVP) application of positioning reduction targeted puncture techniques in treatment elderly patients with osteoporotic vertebral compression fractures. A retrospective comparative study was conducted, analyzing data 268 single-level fractures admitted January 2021 March 2023. The were divided into two groups:the PVP group (138 cases) (130 cases). Among them, 138 treated by traditional bilateral approach including 26 males 112 females, a mean age (72.9±4.0) years old. Another 130 included 23 107 (72.2±7.0) old;vertebral first achieved using prone traction technique based on preoperative imaging examination, operating bed used to maintain spinal hyper-extension spine fracture space target inject cement. adequacy filling gap evaluated examination. operation time, rate leakage type leakage, area, amount injection, thoracolumbar back pain visual analogue scale(VAS), Oswestry disability index(ODI), local kyphosis Cobb angle fractured vertebra compared groups. time (43.9±5.7) min, (5.3±1.5) ml higher than (39.3±3.6) (4.1±1.7) ml(P<0.05). There no statistically significant differences or type(P>0.05). sufficient while had 34 cases (25.0%) insufficient area(P<0.01). difference VAS, ODI, before groups(P>0.05). VAS 3.64±0.94 ODI 11.50±0.38 at 3 day after better those 4.69±0.78 15.06±1.66 (P<0.05). (7.51±5.37)° less that (11.68±3.98)°(P<0.05). vertebroplasty for can restore height avoid excessive tension intervertebral soft tissue. Targeted effectively stabilizes achieves adequate filling, thereby improving surgical outcomes. This is safe effective, representing new modality.