1Department of Spine Surgery, The Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine, 330016, Nanchang, China
2Department of Clinical Laboratory, Jiangxi Health Vocational College, 330052, Nanchang, China
*Corresponding author:Quanhe Qiu, Biaopeng Li, Department of Spine Surgery, The Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine, 330016, Nanchang, China and Jing Jiang, Department of Clinical Laboratory, Jiangxi Health Vocational College, 330052, Nanchang, China
Submission: June 27, 2024;Published: July 12, 2024
Objective: To evaluate the therapeutic effect of percutaneous curved vertebroplasty and traditional
vertebroplasty for the treatment of osteoporotic vertebral compression fractures.
Methods: 261 patients (300 vertebral fractures, T11-L5) were randomly divided to 3 groups: A groups
were treated with percutaneous curved vertebroplasty (83 patients, 100 vertebral fractures), B groups
were treated with traditional unipedicular percutaneous vertebroplasty (90 patients, 100 vertebral
fractures), and C groups were treated with traditional bipedicular percutaneous vertebroplasty (88
patients, 100 vertebral fractures). Clinical data including clinical and radiological evaluation results were
performed pre- and postoperatively.
Results: Compared with preoperative data, the VAS scores, Oswestry disability index (ODI) scores, and
local kyphotic angle were improved with significant differences after surgery in three groups (P<0.05).
However, there were no differences between the three groups (P>0.05). The local kyphotic angle
correction rate was respectively (37.9±15.7)%, (38.55±14.89)% and (37.26±16.14)% in three groups
with no statistic difference (P>0.05). There were no significant differences between the three groups in
the leakage rate of bone cement (group A is 26.00%, group B is 18.00%, group C is 25.00%, P>0.05). The
operation time of group A (18.29±4.68min) and group B (18.04±4.20min) were less than that of group
C (26.2874±4.36min) with significantly difference(P<0.05). The cement volume of group A and C were
respectively 8.27±3.21ml and 8.39±2.55ml with no difference (P>0.05). The cement volume of group B
(4.40±1.62ml) was obviously less than that of the other two groups(P<0.05).
Conclusion: Both percutaneous curved vertebroplasty and traditional percutaneous vertobreplasty can
effectively relieve the back pain. PCVP is superior in cement dispersion and the volume of bone cement
to traditional unilateral puncture, and is superior in operation time and trauma to traditional bilateral
puncture. PCVP is not superior in the leakage rate of bone cement.
Keywords:Percutaneous vertebroplasty; Percutaneous curved vertebroplasty; Osteoporosis; Cement leakage; Operation time