Effectiveness and prognostic factors of different minimally invasive surgeries for vertebral compression fractures

BMC Musculoskeletal Disorders

Research

Yi Liu¹  Hao Wan²  ZongLi Peng²  LiangPing Zeng²  DanDan Yang²  Wei Wang²  Kun Tian³ 

[1] Department of Orthopaedics, Fengcheng People’s Hospital of Jiangxi Province, 331100, Fengcheng, China;Department of Orthopaedics, The First Affiliated Hospital of Jiangxi Medical College, 334000, Shangrao, China;Department of Orthopedics, Zhejiang Hospital of Traditional Chinese Medicine, 310053, Hangzhou, China;

关键词: Percutaneous vertebroplasty;    Percutaneous kyphoplasty;    Osteoporotic vertebral compression fracture;    Curative effect;    Factors affecting;   

DOI  :  10.1186/s12891-022-06125-8

 received in 2022-11-02, accepted in 2022-12-30,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundThe aging of China's population has led to an increase in the incidence rate of osteoporosis, which indirectly increases the risk of OVCF in osteoporosis patients. Low back pain is the main symptom of OVCF, and severe patients can further develop kyphosis. Although the conservative treatment of OVCF can effectively control the patient's condition, long-term bed rest will increase the risk of OVCF complications. Minimally invasive surgery is a common solution for OVCF.Methods100 OVCF patients admitted to our hospital from January 2021 to January 2022 are selected for analysis and randomly divided into PVP group and PKP group, 50 cases in each group. The PVP group and the PKP group undergo PVP and PKP operations respectively. The differences in efficacy indicators and adverse reactions are compared, and the multivariate Logistic regression method is used to analyze the influencing factors of postoperative secondary fractures in patients with vertebral compression fractures.ResultsCompared with the PVP group, the total effective rate of PKP group is significantly increased, and the VAS, ODI score, kyphotic Cobb Angle, lateral distribution rate of bone cement and bone cement leakage rate are significantly decreased (P < 0.05). Age ≥ 80 years old, female, glucocorticoid use, lateral distribution of bone cement and bone cement leakage are significantly higher in the proportion of secondary fractures and are independent risk factors for postoperative secondary fractures in patients with OVCF.ConclusionPKP surgery has a higher efficacy in the treatment of OVCF patients, which can reduce the incidence of pain, adverse reactions and promote the recovery of kyphotic Cobb Angle. PKP surgery has a higher value in the treatment of OVCF. In addition, the influencing factors of secondary fracture after minimally invasive surgery in OVCF patients include age, gender, glucocorticoid use, bone cement distribution pattern, bone cement leakage, etc.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

Fig. 3