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Frontiers in Medical Science Research, 2022, 4(5); doi: 10.25236/FMSR.2022.040503.

Treatment of osteoporotic vertebral compression fractures by unilateral puncture through the posterior outer upper part of the vertebral body

Author(s)

Deng Chuang, Hu Shengli, Xie Wei, Ji Luhong, Chen Zhujiang, Yang Bo

Corresponding Author:
​Deng Chuang
Affiliation(s)

Hubei 672 Orthopedic Hospital of Integrated Traditional Chinese and Western Medicine, Wuhan, 430079, Hubei, China

Abstract

Objective: To comprehensively analyze the effect of unilateral and bilateral puncture in the treatment of osteoporotic vertebral compression fractures (OVCFs).Methods: The main subjects of this study were: OVCFs patients (a total of 100 cases, starting from October 2020 and ending from October 2021). According to the different treatment methods, two groups (50 cases in each group) were named, one group was the control group (applying bilateral puncture treatment through the vertebral body), the other group was the experimental group (unilateral puncture treatment through the vertebral body).Results: Compared with the control group, the operation time of the experimental group was shorter, P < 0.05; Compared with the control group, the amount of intraoperative blood loss in the experimental group was less, P < 0.05; Compared with the control group, the amount of bone cement filling and X-ray exposure in the experimental group were significantly less, P < 0.05; Compared with the control group, there was no difference in bone cement leakage rate in the experimental group (P > 0.05). Before treatment, compared with the control group, there were no differences in Cobb Angle, pain degree score, spinal dysfunction score and quality of life score between the experimental group and the control group, P > 0.05; After treatment, compared with the control group, the quality of life score of the experimental group was higher, P < 0.05; Compared with the control group, the Cobb Angle, pain degree score and spinal dysfunction score of the injured vertebrae in the experimental group were lower, P < 0.05.Conclusion: Unilateral puncture through posterior and upper vertebral body is more effective than bilateral puncture in OVCFs patients.

Keywords

posterior, external and upper transvertebral body; Unilateral puncture therapy; Bilateral puncture treatment; Osteoporotic vertebral compression fracture

Cite This Paper

Deng Chuang, Hu Shengli, Xie Wei, Ji Luhong, Chen Zhujiang, Yang Bo. Treatment of osteoporotic vertebral compression fractures by unilateral puncture through the posterior outer upper part of the vertebral body. Frontiers in Medical Science Research (2022) Vol. 4, Issue 5: 14-17. https://doi.org/10.25236/FMSR.2022.040503.

References

[1] Tao Zongfei, KONG Zhiyang, Wang Zhigang. Effect of unilateral and bilateral percutaneous kyphoplasty on the treatment of osteoporotic compression fractures [J]. Journal of Clinical and Experimental Medicine, 201,20(3):303-306.

[2] ZHANG Jiongtao, CUI Wenbo, ZHAO Jifu, et al. Comparison of clinical efficacy and value of unilateral and bilateral percutaneous vertebroplasty for the treatment of osteoporotic vertebral compression fractures [J]. Heilongjiang medical journal,2019,43(3):216-217,219.

[3] Yang Lin, Yang Jincai, Hai Yong. Treatment of osteoporotic multi-vertebral compression fractures with single and bilateral approach through percutaneous kyphoplasty [J]. Chinese Journal of Clinical Physicians, 201,49(6):714-717.

[4] Zhao Lei, Wang Gangrui, ZHENG Shengnai, et al. Treatment of multiple vertebral compression fractures with unilateral and bilateral percutaneous kyphoplasty [J]. J orthopaedics, 2019,22(6):650-654.

[5] Zheng Yong, ZHENG Grim, Lin Xu, et al. Comparison of digital target unilateral and traditional bilateral percutaneous kyphoplasty for the treatment of osteoporotic vertebral compression fractures in the elderly [J]. Agricultural reclamation medicine,2018,40(4):319-322.

[6] Wang Y, Wang Y, Wang Y, et al. The effect of percutaneous balloon expansion kyphoplasty on osteoporotic vertebral compression fractures [J]. Kang yi, 2020,15 (9):175.

[7] Zhu Yanbing. Comparison of unilateral and bilateral percutaneous kyphoplasty for the treatment of osteoporotic thoracolumbar compression fractures in the elderly [J]. China health and nutrition,2020,30(36):80-81.

[8] Ge Jun, SHAO Hongwei. Comparison of single and bilateral puncture balloon kyphoplasty for the treatment of osteoporotic vertebral compression fractures in the elderly [J]. Chinese journal of disability medicine,2018,26(23):3-5.

[9] Wan Lun, WANG Xiaolin, Yang Jinhua, et al. Single balloon bilateral percutaneous kyphoplasty for the treatment of fresh and old thoracolumbar osteoporotic compression fractures in the elderly [J]. China clinical research,2018,31(11):1526-1529,1534.

[10] HUANG Haojie, ZOU Weimin, PANG Zucai, et al. Treatment of multilevel osteoporotic compression fractures with unilateral percutaneous vertebroplasty [J]. Guangdong medical journal,2019,40(21):3055-3058.