An updated comparison of high- and low-viscosity cement vertebroplasty in the treatment of osteoporotic thoracolumbar vertebral compression fractures: A retrospective cohort study
| Autor: | Zhao-fei Zhang, Zhi-xiang Liu, Huan-chang Jiang, Jun-long Yang, Zhen Lai, Yong-quan Pan, Feng Wu |
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| Rok vydání: | 2017 |
| Předmět: |
Male
musculoskeletal diseases medicine.medical_specialty Visual Analog Scale Visual analogue scale Osteoporosis Thoracic Vertebrae 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology Fractures Compression medicine Humans Vein Aged Retrospective Studies Cement Vertebroplasty Lumbar Vertebrae Viscosity business.industry Vertebral compression fracture Bone Cements technology industry and agriculture Retrospective cohort study General Medicine Middle Aged medicine.disease Compression (physics) Oswestry Disability Index Surgery surgical procedures operative medicine.anatomical_structure Spinal Fractures Female business Osteoporotic Fractures 030217 neurology & neurosurgery |
| Zdroj: | International Journal of Surgery. 43:126-130 |
| ISSN: | 1743-9191 |
| DOI: | 10.1016/j.ijsu.2017.05.067 |
| Popis: | Objective This study mainly aimed to evaluate complications of cement leakage for osteoporotic thoracolumbar vertebral compression fractures by PVP using HVC, and access the clinical efficacy. Methods Between May 2013 and June 2015, 66 patients with osteoporotic thoracolumbar vertebral compression fractures, who underwent PVP (36 HVC and 30 LVC) in our hospital, were enrolled. Cement leakage, Visual Analog Scale (VAS), Oswestry Disability Index (ODI), refracture of the cemented vertebrae, and adjacent vertebral fractures were evaluated. The follow-up time was 1 year. Results The overall cement leakage rate was 30.55% in the HVC group, lower than 77.77% obtained in the LVC group (P = 0.00). The incidence rates of cement leakage into paravertebral area (P = 0.02) and vein (P = 0.04) in the HVC group were significantly lower than those of the LVC group; however, no differences were found for disc space (P = 0.72) and intraspinal space (P = 0.58). There were no differences in VAS, ODI, refracture of cemented vertebrae, and adjacent vertebral fracture between the two groups (P > 0.05). Conclusions PVP using HVC not only can reduce cement leakage, especially in the paravertebral area and peripheral vein, but also has satisfactory clinical effect. |
| Databáze: | OpenAIRE |
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