[Effect of different bone cement dispersion types in the treatment of osteoporotic vertebral compression fracture].
Zhongguo Gu Shang. 2017 Could 25;30(5):446-452
Authors: Zhao YS, Li Q, Li Q, Zheng YP
OBJECTIVE: To look at completely different bone cement dispersion sorts of PVP, PKP and manipulative discount PVP and their results within the therapy of senile osteoporotic vertebral compression fractures and the bone cement leakage price.
METHODS: The scientific knowledge of sufferers with osteoporotic vertebral compression fractures who underwent unilateral vertebroplasty from January 2012 to January 2015 was retrospectively analyzed. Of them, 56 circumstances together with 22 males and 34 females aged from 60 to 78 years outdated have been handled by PVP operation; Fouty-eight circumstances together with 17 males and 31 females aged from 61 to 79 years outdated have been handled by PKP operation; Forty-three circumstances together with 15 males and 28 females aged from 60 to 76 years outdated have been handled by manipulative discount PVP operation. AP and lateral DR movies have been taken after the operation; the vertebral bone cement diffusion district space and mass district space have been calculated with AutoCAD graphics processing software program by AP and lateral DR image, then ratio(Ok) of common diffusion space and mass space have been calculated, defining Ok<50% as mass sort, 50%<=Ok<=100% as combined sort and Ok>100% as diffusion sort. Completely different bone cement dispersion sorts of PVP, PKP and manipulative discount PVP operation have been analyzed. In accordance with bone cement dispersion sorts, sufferers have been divided into diffusion sort, combined sort and mass sort teams.Visible analogue scale (VAS), vertebral physique compression price, JOA rating and bone cement leakage price have been noticed.
RESULTS: All sufferers have been adopted up for 12-24 months with a median of 17.2 months. There was vital distinction in bone cement dispersion sort amongst three teams (P<zero.05). The constituent ratio of diffusion sort, combined sort and mass sort in PVP operation was 46.43%, 35.71%, 17.86%, in PKP was 16.67%, 37.50% , 45.83%, and in manipulative discount PVP was 37.21%, 44.19% and 18.60%, respectively. PVP operation and manipulative discount PVP have been primarily composed of diffusion sort and combined sort, whereas PKP was primarily composed of mass sort and combined sort. There was no vital distinction in VAS rating, JOA rating and bone cement leakage price amongst three teams. There was statistically vital distinction in postoperative vertebral physique compression price amongst three bone cement dispersion sorts(P<zero.05), postoperative vertebral physique compression price in diffusion sort group at 24 h postoperatively and remaining follow-up was (17.31±5.06)% and(18.58±four.91)%, respectively. In combined sort group, it was(14.21±5.15)% and(14.59±5.07)%, respectively. In mass sort group, it was(13.89±5.02)% and(14.28±four.94)%, respectively.
CONCLUSIONS: Bone cement dispersion sort is completely different in PVP, PKP and manipulative discount PVP operation. The bone cement dispersion of mass sort and combined sort to restoration of compressed vertebral physique is healthier than diffusion sort, and there’s no apparent distinction in scientific impact in several bone cement dispersion sort early and center time period.
PMID: 29417777 [PubMed – in process]