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Percutaneous Curved Vertebroplasty and Bilateral-Pedicle-Approach Percutaneous Vertebroplasty in the Treatment of Osteoporotic Vertebral Compression Fracture: A Meta-Analysis.
- Source :
- Geriatric Orthopaedic Surgery & Rehabilitation; 6/8/2023, p1-12, 12p
- Publication Year :
- 2023
-
Abstract
- Introduction: The aim of this study was to evaluate the use of percutaneous curved vertebroplasty procedure (PCVP) and bilateral-pedicle-approach percutaneous vertebroplasty (bPVP) for the treatment of osteoporotic vertebral compression fractures (OVCFs) through a systematic review and meta-analysis of the scientific literature. Methods: A systematic review of the scientific literature in PubMed, China National Knowledge Infrastructure (CNKI), Wanfang and other databases was conducted in conjunction with different keywords. Nine studies were included; all but 3 were randomised controlled studies and all were prospective or retrospective cohort studies. Results: We observed statistically significant differences between the PCVP group and the bPCVP group in terms of postoperative visual analogue scale (VAS) scores (mean difference [MD]: −.08; 95% confidence intervals [CI]: −.15 to.00), bone cement leakage rates (OR =.33; 95%CI:.20 to.54), bone cement injection (MD: −1.52; 95%CI: −1.58 to 1.45), operative times (MD: −16.69; 95%CI: −17.40 to −15.99) and intraoperative fluoroscopies (MD: −8.16; 95%CI: −9.56 to −6.67), with the PCVP group being more dominant. There were no statistical differences in postoperative Oswestry Disability Index (ODI) scores (MD: −.72; 95%CI: −2.11 to.67) and overall bone cement distribution rates (MD: 2.14; 95%CI:.99 to 4.65) between the 2 groups. Conclusions: Meta-analysis showed more favourable outcomes in the PCVP group compared to the bPVP group. PCVP might be effective and safe in the treatment of OVCFs because it relieves postoperative patient pain, reduces operative time and cement injection, and decreases the risk of cement leakage and radiation exposure to the surgeon and patient. [ABSTRACT FROM AUTHOR]
- Subjects :
- ONLINE information services
MEDICAL databases
META-analysis
MEDICAL information storage & retrieval systems
BONE cements
CEMENTOPLASTY
CONFIDENCE intervals
SYSTEMATIC reviews
TREATMENT duration
OSTEOPOROSIS
COMPRESSION fractures
TREATMENT effectiveness
COMPARATIVE studies
RESEARCH funding
DESCRIPTIVE statistics
MEDLINE
ODDS ratio
BONE fractures
VERTEBRAL fractures
VERTEBROPLASTY
POSTOPERATIVE pain
Subjects
Details
- Language :
- English
- ISSN :
- 21514585
- Database :
- Complementary Index
- Journal :
- Geriatric Orthopaedic Surgery & Rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 164198459
- Full Text :
- https://doi.org/10.1177/21514593231182533