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A second puncture and injection technique for treating osteoporotic vertebral compression fractures
- Source :
- Journal of Orthopaedic Surgery and Research, Journal of Orthopaedic Surgery and Research, Vol 14, Iss 1, Pp 1-7 (2019)
- Publication Year :
- 2019
- Publisher :
- BioMed Central, 2019.
-
Abstract
- Objective To evaluate the clinical effect of the second puncture and injection technique during a percutaneous vertebroplasty (PVP) procedure. Methods Patients treated with a second puncture and injection (group A) or a single puncture and injection (group B) during PVP at our institution during 2010–2017 were reviewed. Vertebral height loss, visual analogue scale (VAS) score, Oswestry disability index (ODI), adjacent vertebral fractures, and cement leakage were compared between the groups. Results A total of 193 patients were enrolled (86 cases in group A, 107 cases in group B). The follow-up period was 15.64 (12–20) months. The loss of anterior (group A 0.01 ± 0.03; group B 0.14 ± 0.17) and middle (group A 0.13 ± 0.12; group B 0.16 ± 0.11) vertebral height in group B was significantly higher than that in group A (P < 0.05). The VAS score and ODI were also significantly higher in group B than in group A at the final follow-up; the VAS score and ODI in group B were 1.65 ± 0.70 and 14.50 ± 4.16, respectively, and those in group A were 1.00 ± 0.74 and 12.81 ± 4.02, respectively (P < 0.05). Three patients in group A and two in group B experienced adjacent vertebral fractures. Regarding mild, moderate, and severe cement leakage, there were 25 (29%), 5 (5%), and 0 cases, respectively, in group A and 28 (26%), 3 (2.8%), and 1 (0.009%) case, respectively, in group B (P > 0.05). Conclusions The second puncture and injection technique may effectively increase the dispersion of cement, thus preventing recompression of the cemented vertebral body, and it does not increase the risk of cement leakage or adjacent vertebral fracture.
- Subjects :
- Male
medicine.medical_specialty
Osteoporotic vertebral compression fractures
lcsh:Diseases of the musculoskeletal system
Visual analogue scale
medicine.medical_treatment
Punctures
Group B
Cement distribution
Thoracic Vertebrae
Injections
Percutaneous vertebroplasty
lcsh:Orthopedic surgery
Fractures, Compression
medicine
Humans
Orthopedics and Sports Medicine
Second puncture and injection
Aged
Retrospective Studies
Aged, 80 and over
Vertebroplasty
Cement leakage
Lumbar Vertebrae
business.industry
Bone Cements
Middle Aged
Compression (physics)
Oswestry Disability Index
Surgery
lcsh:RD701-811
Vertebral height
Orthopedic surgery
Spinal Fractures
Female
lcsh:RC925-935
business
Osteoporotic Fractures
Research Article
Follow-Up Studies
Subjects
Details
- Language :
- English
- ISSN :
- 1749799X
- Volume :
- 14
- Database :
- OpenAIRE
- Journal :
- Journal of Orthopaedic Surgery and Research
- Accession number :
- edsair.doi.dedup.....7fa3c9808a85eaad9400cf45d2c469ab