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Abstract：
This research is intended to evaluate the efficacy of percutaneous vertebroplasty (PVP) versus percutaneous kyphoplasty (PKP) in osteoporotic vertebral compression fracture (OVCF), which is associated with post-operative pain. Eligible studies were screened by searching multiple databases and sources such as PubMed, Cochrane and EMBASE for search terms updated to October 2023, and relevant literature sources were searched. Randomized, controlled, prospective or retrospective, and cohort studies were eligible. For the analysis of the primary results, an analysis of the data was carried out, such as mean difference (MD) or odds ratio (OR), and 95% confidence interval (CI). In the present research, 1933 research was screened in 4 databases, and 30 articles were chosen to be examined under strict exclusion criteria. No statistical significance was found in the use of bone cement in the PVP group and PKP (MD, -0.60; 95% CI, -1.40, 0.21, p = 0.15); PKP was associated with a reduced risk of cement leak compared with PVP group (OR, 2.18; 95% CI, 1.38, 3.46, p = 0.0009); no statistical significance was found in the wound VAS score in PVP operation compared with that of PKP (MD, 0.16; 95% CI, -0.07, 0.40, p = 0.17); no statistical significance was found between the time of PVP operation and the time of PKP operation (MD, -2.65; 95% CI, -8.91, 3.60, p = 0.41). Compared with PVP technology, the PKP treatment of osteoporotic vertebral compression fractures reduces post-operative cement leakage, but there is no significant difference in the number of operative cement and wound VAS after operation. Nor did there appear to be a statistically significant difference in time between the two operations.
摘要：
这项研究旨在评估经皮椎体成形术（PVP）与经皮椎体后凸成形术（PKP）在骨质疏松性椎体压缩骨折（OVCF）中的疗效。这与术后疼痛有关。通过搜索多个数据库和来源，如PubMed，Cochrane和EMBASE的搜索词更新至2023年10月，并搜索了相关文献来源。随机化,控制,前瞻性或回顾性，队列研究符合资格.对于主要结果的分析，对数据进行了分析，如平均差(MD)或比值比(OR)，95%置信区间(CI)。在目前的研究中,1933年的研究在4个数据库中进行了筛选，在严格的排除标准下选择了30篇文章进行检查.PVP组和PKP组的骨水泥用量无统计学意义(MD,-0.60；95％CI，-1.40，0.21，p=0.15）；与PVP组相比，PKP与水泥渗漏风险降低相关（OR，2.18;95%CI,1.38,3.46,p=0.0009);PVP手术创面VAS评分与PKP相比无统计学意义(MD,0.16；95％CI，-0.07，0.40，p=0.17）；PVP手术时间与PKP手术时间之间无统计学意义（MD，-2.65；95%CI，-8.91，3.60，p=0.41）。与PVP技术相比,PKP治疗骨质疏松性椎体压缩性骨折可减少术后骨水泥渗漏,但术后骨水泥和伤口VAS的数量无显著差异。两次手术之间的时间似乎也没有统计学上的显着差异。
