Related Articles |
Extremely-early injection of low-viscosity cement in vertebroplasty process for treating osteoporotic vertebral compression fractures: A retrospective cohort research.
Int J Surg. 2018 Feb 15;:
Authors: Zhang ZF, Liu DH, Wu PY, Xie CL, Qin FW, Huang H
Summary
OBJECTIVE: To guage the medical impact of ultra-early injection (earlier than the section of “tooth-paste-like”) of low-viscosity cement in percutaneous vertebroplasty (PVP) for treating osteoporotic vertebral compression fractures (OVCFs).
METHODS: 200 sixty-one sufferers who had PVP procedures with low-viscosity cement (ultra-early injection: 145, regular injection: 135) had been included from July 2010 to July 2016 in our hospital. Visible Analog Scale (VAS), Oswestry Incapacity Index (ODI), Cobb angle, cement leakage, and adjoining vertebral fractures had been evaluated. The follow-up interval was over 12 months.
RESULTS: VAS three.zero?d after surgical procedure was considerably lowered within the ultra-early injection group in comparison with that within the management group (P?=?zero.00), however no distinction was discovered on the closing follow-up (P?=?zero.53). Comparable outcomes had been discovered for ODI. The Cobb angle in each teams was recovered after PVP (P?<?zero.05); nonetheless, within the management group, the Cobb angle on the closing follow-up was considerably elevated in contrast with that three.zero?d after surgical procedure (P?=?zero.00). There was a major distinction within the Cobb angle between the 2 teams on the closing follow-up (P?=?zero.00). Relating to cement leakage, there have been no vital variations by way of gentle (P?=?zero.58), average (P?=?zero.68), or extreme leakage (P?=?zero.52). Seven sufferers within the management group had adjoining vertebral fractures, however just one affected person within the ultra-early injection group skilled adjoining fractures (P?=?zero.03).
CONCLUSIONS: Extremely-early injection of low-viscosity cement throughout PVP procedures within the therapy of OVCFs not solely rapidly and considerably relieves ache, reduces the incidence of adjoining vertebral fractures, and prevents progressive kyphotic deformity, but in addition doesn’t improve the chance of cement leakage in comparison with that of the standard injection process.
PMID: 29455043 [PubMed – as supplied by publisher]