Incremental temperature cement supply method might forestall cement leakage in metastatic vertebral lesions.
J Orthop Surg (Hong Kong). 2017 Sep-Dec;25(three):2309499017718931
Authors: Liu H, Wang S, Liu T, Meng B, He F, Zhou R, Yang H
OBJECTIVES: To investigate the medical efficacy and cement leakage charge of percutaneous kyphoplasty (PKP) for the remedy of metastatic vertebral lesions between the 2 teams utilizing completely different cement infusion strategies.
METHODS: 100 twenty-nine sufferers (160 metastatic vertebral fractures) who selected “the incremental temperature cement supply method” (ITCDT group) and 105 sufferers (128 metastatic vertebral fractures) who selected “conventional infusion method” (TI group) have been lastly enrolled (9 sufferers have been misplaced to the follow-up). The visible analog scale (VAS), Oswestry Incapacity Index (ODI), the native Cobb’s angle, the relative top of the vertebral anterior border, and cement leakage have been analyzed to guage the medical efficacy of the 2 cement infusion strategies inside postoperative 12 months.
RESULTS: There was no vital distinction within the VAS scores, ODI scores, the relative top of the vertebral anterior border, and native Cobb’s angle between the ITCDT group and TI group preoperatively and postoperatively ( p > zero.05). The cement leakage occurred in three sufferers of ITCDT group (2.three%), which was considerably lower than TI group (12 sufferers, 11.four%; p < zero.05).
CONCLUSIONS: The ITCDT and TI method in kyphoplasty are efficient at relieving ache and bettering useful incapacity, vertebral top, and kyphosis angle; Nonetheless, kyphoplasty utilizing the ITCDT causes much less cement leakage considerably.
PMID: 29141521 [PubMed – indexed for MEDLINE]