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[Observation of clinical effects of percutaneous vertebroplasty in the treatment of vertebral compression fractures complicated with intravertebral clefts].
Zhongguo Gu Shang. 2018 Apr 25;31(Four):328-332
Authors: Duan L, Yang GC, Tang WZ, Zheng J
Summary
OBJECTIVE: To discover the medical results of percutaneous vertebroplasty(PVP)within the therapy of osteoporotic vertebral compression fractures sophisticated with intravertebral clefts.
METHODS: The medical knowledge of 176 sufferers with osteoporotic vertebral compression fractures underwent therapy from January 2013 to Could 2016 have been retrospectively analyzed. All of the sufferers have been handled by unilateral PVP process, 37 sufferers with intravertebral clefts. Seven instances have been excluded in keeping with the usual and 30 sufferers have been internalized within the research. There have been 14 males and 16 females, aged from 60 to 93 years outdated with a mean of (77.73±9.33) years. The imply bone mineral density was (-Three.16±zero.48) SD (ranged from -2.Three to -Four.1 SD). The Oswestry Incapacity Index(ODI), visible analogue scale (VAS) have been analyzed earlier than operation and 1 day, Three months, 1 yr after operation. The compression ratio of injured vertebrae was measured by X-ray earlier than operation and three days, Three months after operation.
RESULTS: All of the operations have been profitable and all of the sufferers have been adopted up greater than 1 yr. Postoperative at 1 d, Three months, 1 yr, VAS scores have been clearly launched (2.93±zero.83, 2.07±zero.58, 1.57±zero.68, respectively) than preoperative 7.00±1.41(P<zero.01);and ODI scores have been clearly improved (36.2±Four.1, 22.9±6.7, 18.eight±5.9, respectively) than preoperative 40.5±Three.9(P<zero.01). Postoperative at Three days, Three months, vertebral top p.c of injured vertebrae have been (79.26±eight.57)% , (77.68±eight.96)% , respectively, which had clearly enchancment in comparison with preoperative (72.00±12.14)% (P<zero.05).
CONCLUSIONS: PVP is an efficient and dependable technique within the therapy of osteoporotic vertebral compression fractures sophisticated with intravertebral clefts. It might successfully restore the peak of the vertebral physique, clearly enhance the affected person’s ache and purposeful standing.
PMID: 29772858 [PubMed – in process]