Effect of bone cement distribution on curative effect after percutaneous vertebroplasty for osteoporotic thoracolumbar fractures
GAO Chao1 YU Chun1▲ GUAN Lian2 CHENG Yedong2
1.Department of Orthopedics, the Third People’s Hospital of Huaian, Jiangsu Province, Huaian 223001, China;
2.Department of Orthopedics, Huaian Medical District of the Eastern Theater Command General Hospital of the Chinese People’s Liberation Army, Jiangsu Province, Huaian 223001, China
Abstract：Objective To explore the effect of bone cement distribution on the curative effect of percutaneous vertebroplasty (PVP) for osteoporotic thoracolumbar fractures. Methods A total of 83 patients with osteoporotic thoracolumbar fractures treated by PVP in Huaian Medical District of the Eastern Theater General Hospital of the Chinese People’s Liberation Army from January 2018 to December 2020 were selected as the research object, CT was rechecked 72 hours after operation to detect the distribution of bone cement, they were divided into bone cement diffusion group and bone cement non diffusion group, including 42 cases in bone cement non diffusion group and 41 cases in bone cement diffusion group. The degree of pain, vertebral body function, vertebral body correction and complications before and after operation were compared between the two groups. Results Visual analog scale score and lumbar dysfunction index score were lower in both groups after surgery than before surgery, and the bone cement diffusion group was lower than the bone cement non-diffusion group (P＜0.05). The relative height of the injured vertebral midline and the relative height of the injured vertebral front were higher than those before surgery, and the Cobb angle after local injured vertebral was lower than that before surgery (P＜0.05). There was no significant difference in the postoperative bone cement leakage rate between the two groups (P＞0.05). Conclusion In patients with osteoporotic thoracolumbar fractures, the dispersion distribution of bone cement after PVP is more conducive to reduce the degree of postoperative pain and improve the related motor function of vertebral body than the non dispersion distribution of bone cement, the clinical effect is better.
京公网安备 11010502046598号