Percutaneous vertebroplasty vs percutaneous kyphoplasty for treating osteoporotic vertebral compression fractures

GUO Daxing; XUE Fuping

PDF(809 KB)

Medical Journal of the Chinese People Armed Police Forces ›› 2020, Vol. 31 ›› Issue (8) : 679-682.

ORIGINAL ARTICLES

Percutaneous vertebroplasty vs percutaneous kyphoplasty for treating osteoporotic vertebral compression fractures

GUO Daxing, XUE Fuping

Author information +

History +

Abstract

Objective To compare the clinical efficacy of percutaneous vertebroplasty (PVP)and percutaneous kyphoplasty(PKP)for osteoporotic vertebral compression fractures(OVCF).Methods One hundred and thirty-two vertebras from 112 patients underwent PKP or PVP between January 2017 and December 2019. Among them, 68 cases were treated with PVP and 64 cases received PKP. VAS scores were evaluated preoperatively and 1 day postoperatively separately. The height increase of the injured vertebra, bone cement leakage, bone cement injection volume and duration of surgery under the two different approaches were recorded.Results Preoperative and post-operative VAS scores were significantly different between the two groups. The height increase of the injured vertebra increased by (2.1±1.3) mm and (11.5±3.2) mm respectively for the PVP group and PKP group. Moreover, 23 cases in the PVP group and 12 cases in the PKP group suffered from bone cement leakage,so the difference between two groups was significant(P<0.05). The bone cement injection volume was (4.5±2.1) ml in the PVP group and (5.9±2.2) ml in the PKP group, with significant difference between the two groups.Conclusions PVP and PKP are both effective for pain relief,but PKP is better than PVP due to the greater height increase of the injured vertebra, larger PMMA injection volume and less PMMA leakage.

Key words

percutaneous vertebroplasty / percutaneous kyphoplasty / elders / osteoporotic vertebral compression fractures

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

GUO Daxing, XUE Fuping. Percutaneous vertebroplasty vs percutaneous kyphoplasty for treating osteoporotic vertebral compression fractures[J]. Medical Journal of the Chinese People Armed Police Forces. 2020, 31(8): 679-682

References

[1] 中华医学会骨质疏松和骨矿盐疾病分会.原发性骨质疏松症诊疗指南(2017) [J]. 中华骨质疏松和骨矿盐疾病杂志,2017,10(5):413-443.
[2] 丁悦,张嘉,岳华,等.骨质疏松性椎体压缩性骨折诊疗与管理专家共识[J].中华骨质疏松和骨矿盐疾病杂志,2018,11(5):425-437.
[3] 李荣锐,王天枢,魏巍,等.农村地区老年人骨质疏松患病率及影响因素[J].中国老年学杂志,2018,38(14): 3534-3537.
[4] Cui L,Chen L,Xia W,et al.Vertebral fracture in postmenopausal chinese women: a population-based study[J].Osteoporos Int,2017,28(9):1-8.
[5] Willson T,Nelson S D,Newbold J,et al.The clinical epidemiology of male osteoporosis: a review of the recent literature[J].Clin Epidemiol,2015,7:65-76.
[6] 宫丽娜,庞伟峰,张邵军,等.PEEK 脊柱后路内固定棒对腰椎非融合术30 例应用效果[J].武警医学,2018,29(1) : 76-78.
[7] 印平,马远征,马迅,等.骨质疏松性椎体压缩性骨折的治疗指[J].中国骨质疏松杂志,2015,21(6):643-648.
[8] 中华医学会骨科学分会骨质疏松学组. 骨质疏松性骨折诊疗指南[J].中华骨科杂志,2017,37(1):1-10.
[9] 郑召民,李佛保.经皮椎体成形术和经皮椎体后凸成形术-问题与对策[J].中华医学杂志,2006,86 (27):1878-1880.
[10] 梁德,叶林强,江晓兵,等.骨水泥-椎体体积比及椎体骨壁裂与经皮椎体成形术骨水泥渗漏的相关性分析[J]. 中国修复重建外科杂志,2014,28(11):1358-1363.
[11] Sun H B,Jing X S,Liu Y Z,et al. The optimal volume fraction in percutaneous vertebroplasty evaluated by pain relief,cementdispersion,and cement leakage: a prospective cohort study of 130 patients with painful osteoporotic vertebral compression fracture in the thoracolumbar vertebra[J].World Neurosurgery,2018,114(6):e677-e688.
[12] 刘耀怀,马兴.单侧与双侧入路行椎体成形术治疗老年骨质疏松性椎体压缩骨折的效果[J]. 临床医学研究与实践,2018,22(3):58-59.
[13] Cao J M,Kong L D,Meng F T,et al. Risk factors for new vertebral compression fractures after vertebroplasty: a meta-analysis[J].ANZ J Surg,2016,86(7-8):549-554.
[14] Borensztein M,Willhuber G O C,Martinez M L P,et al.Analysis of risk factors for new vertebral fracture after percutaneous vertebroplasty[J].Global Spine J,2018,8(5):446-452.
[15] Li Y X,Guo D Q,Zhang S C,et al.Risk factor analysis for re-collapse of cemented vertebrae after percutaneous vertebroplasty (PVP) or percutaneous kyphoplasty (PKP) [J]. Int Orthop,2018,42(9):2131-2139.
[16] Li Y A,Lin C L,Chang M C,et al. Subsequent vertebral fracture after vertebroplasty: incidence and analysis of risk factors[J].Spine,2012,37( 3) : 179-183
[17] Swartz K,Fee D. Kümmell ’s disease: a case report and literature review[J].Spine,2008,33(5):152-155.