An up to date comparability of high- and low-viscosity cement vertebroplasty within the therapy of osteoporotic thoracolumbar vertebral compression fractures: A retrospective cohort research.
Int J Surg. 2017 Jul;43:126-130
Authors: Zhang ZF, Yang JL, Jiang HC, Lai Z, Wu F, Pan YQ, Liu ZX
OBJECTIVE: This research primarily aimed to guage issues of cement leakage for osteoporotic thoracolumbar vertebral compression fractures by PVP utilizing HVC, and entry the medical efficacy.
METHODS: Between Might 2013 and June 2015, 66 sufferers with osteoporotic thoracolumbar vertebral compression fractures, who underwent PVP (36 HVC and 30 LVC) in our hospital, had been enrolled. Cement leakage, Visible Analog Scale (VAS), Oswestry Incapacity Index (ODI), refracture of the cemented vertebrae, and adjoining vertebral fractures had been evaluated. The follow-up time was 1 yr.
RESULTS: The general cement leakage charge was 30.55% within the HVC group, decrease than 77.77% obtained within the LVC group (P = zero.00). The incidence charges of cement leakage into paravertebral space (P = zero.02) and vein (P = zero.04) within the HVC group had been considerably decrease than these of the LVC group; nevertheless, no variations had been discovered for disc area (P = zero.72) and intraspinal area (P = zero.58). There have been no variations in VAS, ODI, refracture of cemented vertebrae, and adjoining vertebral fracture between the 2 teams (P > zero.05).
CONCLUSIONS: PVP utilizing HVC not solely can cut back cement leakage, particularly within the paravertebral space and peripheral vein, but additionally has passable medical impact.
PMID: 28578082 [PubMed – indexed for MEDLINE]