PDF(Pubmed)
Abstract：
BACKGROUND: Bipedicular/unipedicular percutaneous kyphoplasty are common treatments for OVCF, and there are no studies to show which is more beneficial for AVCF. The purpose of this study was to investigate the clinical efficacy of BPKP or UPKP in the treatment of AVCF.
METHODS: The clinical data of AVCF patients treated by PKP were retrospectively analyzed. They were divided into two groups according to the surgical approach. General demographic data, perioperative complications, and general information related to surgery were recorded for both groups. The preoperative and postoperative vertebral height difference, vertebral local Cobb angle, lumbar pain VAS score and lumbar JOA score were counted for both groups. The above data were compared preoperatively, postoperatively and between the two groups.
RESULTS: 25 patients with AVCF were successfully included and all were followed up for at least 12 months, with no complications during the follow-up period. 10 patients in the BPKP group and 15 patients in the UPKP group, with no statistically significant differences in general information between the two groups. The VAS scores of patients in the BPKP group were lower than those in the UPKP group at 12 months after surgery, and the differences were statistically significant, and there were no statistically significant differences between the two groups at other follow-up time points. In the BPKP group, 80% of patients had symmetrical and more homogeneous bone cement dispersion. 50% of patients in the UPKP group had a lateral distribution of bone cement and uneven bone cement distribution, and the difference in bone cement distribution between the two groups was statistically significant.
CONCLUSIONS: For the treatment of AVCF, the clinical efficacy of both surgical approaches is basically the same. The distribution of cement is more symmetrical and uniformly diffused in the BPKP group, and the clinical efficacy VAS score is lower in the long-term follow-up. Bipedicular percutaneous kyphoplasty is recommended for the treatment of AVCF.
UNASSIGNED: XZXY-LJ-20161208-047.
METHODS: The clinical data of AVCF patients treated by PKP were retrospectively analyzed. They were divided into two groups according to the surgical approach. General demographic data, perioperative complications, and general information related to surgery were recorded for both groups. The preoperative and postoperative vertebral height difference, vertebral local Cobb angle, lumbar pain VAS score and lumbar JOA score were counted for both groups. The above data were compared preoperatively, postoperatively and between the two groups.
RESULTS: 25 patients with AVCF were successfully included and all were followed up for at least 12 months, with no complications during the follow-up period. 10 patients in the BPKP group and 15 patients in the UPKP group, with no statistically significant differences in general information between the two groups. The VAS scores of patients in the BPKP group were lower than those in the UPKP group at 12 months after surgery, and the differences were statistically significant, and there were no statistically significant differences between the two groups at other follow-up time points. In the BPKP group, 80% of patients had symmetrical and more homogeneous bone cement dispersion. 50% of patients in the UPKP group had a lateral distribution of bone cement and uneven bone cement distribution, and the difference in bone cement distribution between the two groups was statistically significant.
CONCLUSIONS: For the treatment of AVCF, the clinical efficacy of both surgical approaches is basically the same. The distribution of cement is more symmetrical and uniformly diffused in the BPKP group, and the clinical efficacy VAS score is lower in the long-term follow-up. Bipedicular percutaneous kyphoplasty is recommended for the treatment of AVCF.
UNASSIGNED: XZXY-LJ-20161208-047.
摘要：
背景：双椎弓根/单椎弓根椎体后凸成形术是OVCF的常用治疗方法，也没有研究表明哪个对AVCF更有利。目的探讨BPKP或UPKP治疗AVCF的临床疗效。
方法：回顾性分析PKP治疗AVCF患者的临床资料。根据手术方式分为两组。一般人口统计数据，围手术期并发症,记录两组手术相关的一般资料.术前、术后椎体高度差,椎体局部Cobb角,对两组的腰椎疼痛VAS评分和腰椎JOA评分进行统计.术前比较上述数据，术后和两组之间。
结果：成功纳入25例AVCF患者，均随访至少12个月，随访期间无并发症。BPKP组10例，UPKP组15例，两组一般资料差异无统计学意义。术后12个月BPKP组患者的VAS评分低于UPKP组,差异有统计学意义，两组在其他随访时间点无统计学差异。在BPKP组中,80％的患者具有对称且更均匀的骨水泥分散。UPKP组50%的患者存在骨水泥横向分布和骨水泥分布不均,两组间骨水泥分布差异有统计学意义。
结论：对于AVCF的治疗，两种手术方式的临床疗效基本相同。在BPKP组中，水泥的分布更加对称且均匀扩散，长期随访中临床疗效VAS评分较低。建议将双椎弓根椎体后凸成形术用于AVCF的治疗。
■XZXY-LJ-20161208-047。
方法：回顾性分析PKP治疗AVCF患者的临床资料。根据手术方式分为两组。一般人口统计数据，围手术期并发症,记录两组手术相关的一般资料.术前、术后椎体高度差,椎体局部Cobb角,对两组的腰椎疼痛VAS评分和腰椎JOA评分进行统计.术前比较上述数据，术后和两组之间。
结果：成功纳入25例AVCF患者，均随访至少12个月，随访期间无并发症。BPKP组10例，UPKP组15例，两组一般资料差异无统计学意义。术后12个月BPKP组患者的VAS评分低于UPKP组,差异有统计学意义，两组在其他随访时间点无统计学差异。在BPKP组中,80％的患者具有对称且更均匀的骨水泥分散。UPKP组50%的患者存在骨水泥横向分布和骨水泥分布不均,两组间骨水泥分布差异有统计学意义。
结论：对于AVCF的治疗，两种手术方式的临床疗效基本相同。在BPKP组中，水泥的分布更加对称且均匀扩散，长期随访中临床疗效VAS评分较低。建议将双椎弓根椎体后凸成形术用于AVCF的治疗。
■XZXY-LJ-20161208-047。
