[Mid and long-term clinical effects of percutaneous kyphoplasty with two methods for vertebral fragility fracture in the elderly].
Zhongguo Gu Shang. 2017 Could 25;30(5):426-430
Authors: Yu HJ, Ma GP, Guo QF, Zhang XW, Zhang C
Summary
OBJECTIVE: To judge the middle-long-term scientific results of unilateral and bilateral percutaneous kyphoplasty(PKP) for vertebral fragility fracture within the aged.
METHODS: The scientific information in aged sufferers with vertebral fragility fracture handled by unilateral and bilateral PKP between January 2008 and January 2010 was retrospective analyzed. In line with a unified standards to divided into two teams for 104 sufferers(44 males and 60 females), of them, 50 circumstances had been divided in unilateral group utilizing unilateral pedicle surgical method for PKP and 54 circumstances had been in bilateral group utilizing bilateral pedicle method. VAS rating, Cobb angle, and the peak of anterior and posterior vertebral physique had been respectively analyzed peroperatively and at three d, three months, 1 12 months, three years postoperatively and last follow-up. Medical results and security had been assessed in two teams.
RESULTS: All of the operations had been profitable. Operative time and bone cement injection quantity in unilateral group had been lower than these of bilateral group(P<zero.05). Postoperative VAS scores, Cobb angle, and the peak of anterior and posterior vertebral physique had been clearly improved in two teams(P<zero.05), and there was no vital distinction between two teams(P>zero.05). Bone cement leakage occurred in 12 circumstances(11.5%), recurrent fracture of vertebral physique occurred in 5 circumstances(four.eight%), cerebrospinal leak occurred in 2 circumstances(1.9%), and nerve root irritation occurred in three circumstances(2.9%). The above problems had been transient and launched after symptomatic treament.
CONCLUSIONS: Center-long-term scientific results of unilateral and bilateral percutaneous kyphoplasty for vertebral fragility fracture are protected and passable, and could also be prolonged as a minimally invasive methodology. Unilateral method for PKP has benefits of brief operation time, relative much less trauma, thus is a extra perfect methodology.
PMID: 29417773 [PubMed – in process]