Spinal Disorders
Clinical efficacy of vertebroplasty in the treatment of occult osteoporotic vertebral fracture with different cement distribution
Wu Yangang, Cui Yan, Shen Haibo, Zhao Xintong.
Published 2020-04-05
Cite as Chin J Geriatr Orthop Rehabil(Electronic Edition), 2020,06(02): 74-79. DOI: 10.3877/cma.j.issn.2096-0263.2020.02.003
Abstract
ObjectiveTo retrospectively analyze and compare the clinical efficacy of vertebroplasty in the treatment of recessive osteoporotic vertebral fractures with different cement distribution.
MethodsAccording to the shape of bone cement after treatment, the patients were divided into two groups: sponge distribution group and lump distribution group. The patients in the two groups were compared following indexes: general condition, basic condition during operation, evaluation of macnab effect after operation, VAS score and ODI score before and 2 months after operation.
Results130 cases of tacit osteoporotic vertebral fractures were treated by vertebroplasty. There were 62 cases in sponge distribution group and 68 cases in lump distribution group. There was no difference between the two groups in general condition. ①There was significant difference in the amount of bone cement injection between the spongy distribution group and the mass distribution group (P<0.01). The amount of bone cement injection in the spongy distribution group was less than that in the mass distribution group. ② The VAS score and ODI score of the two groups were lower than that of the group before operation (P<0.01), and the VAS score and ODI score of the sponge distribution group were lower than that of the lump distribution group (P<0.01). ③ In the evaluation of the curative effect of macnab, the excellent rate of sponge distribution was 95.16%; the excellent rate of lump distribution group was 83.82%; the excellent rate of sponge distribution group was better than that of lump distribution group (P<0.05).
ConclusionIn the treatment of recessive osteoporotic vertebral fracture by vertebroplasty, compared with mass bone cement injection, sponge bone cement injection can effectively reduce the amount of bone cement, and achieve better clinical results, which is worthy of clinical promotion.
Key words:
Vertebroplasty; Osteoporosis; Recessive vertebral fractures
Contributor Information
Wu Yangang
Department of Orthopaedics, Shunyi District Hospital, Beijing 101300, China
Cui Yan
Department of Orthopaedics, Shunyi District Hospital, Beijing 101300, China
Shen Haibo
Department of Orthopaedics, Shunyi District Hospital, Beijing 101300, China
Zhao Xintong.
Department of Orthopaedics, Shunyi District Hospital, Beijing 101300, China