Titanium mesh bone cement filling versus percutaneous curved vertebroplasty in the treatment of elderly osteoporotic vertebral compression fractures

Wang Ping; Gao Zongbao; Liu Yubing

doi:10.3969/j.issn.1009-4237.2025.12.009

Abstract：Objective To compare the clinical efficacy of elderly osteoporotic vertebral compression frac-tures(OVCF)by percutaneous curved vertebroplasty(PCVP)or titanium mesh cement filling.Methods A retro-spective study was conducted on clinical data of 123 elderly OVCF patients admitted to our hospital from Aug.2022 to Sep.2023.Among them,70 were male and 53 were female,aged 65-84 years,with an average age of 77.0 years.Fracture sites were 64 cases of lumbar vertebrae and 59 thoracic vertebrae,and AO classification defined 71 cases of type A1 and 52 type A2.The causes of injuries were 50 road traffic accidents,38 falls,24 falls from heights,and 11 others.According to the surgeries they received,patients were divided into either group A(60 cases,PCVP)or group B(63 cases,titanium mesh bone cement filling).The function by Oswestry dysfunction index(ODI),visual analogue scale(VAS),perioperative indicators,imaging indicators(Cobb angle,anterior vertebral height ratio)and complications were compared between the two groups.Results Compared with group A,group B showed less a-mount of injected bone cement(mL,5.4±0.3 vs.9.2±0.6)and intraoperative fluoroscopy(times,7.8±1.8 vs.12.9±2.5),and shorter operation time(min,26.9±2.2 vs.37.6±3.5)(all P<0.05).Compared with before op-eration,both the VAS and ODI decreased at postoperative 2 days and 3 months in two groups(all P<0.05),moreo-ver,both scores were much lower in group B(all P<0.05).At 3 months after operation,the Cobb angle decreased and the anterior vertebral height ratio increased in both groups,and comparison between the two groups revealed bet-ter results in group B(Cobb angle:11.6°±2.5°vs.16.8°±2.9°;anterior vertebral height ratio:38.9%±2.3%vs.33.6%±3.1%,both P<0.05).The incidence of complications in group B was 4.8%,much lower than the 16.7%in group A(P<0.05).Conclusion Compared with PCVP,titanium mesh bone cement filling is more effective in the treatment of elderly OVCF patients,which can better promote postoperative recovery,improve imaging indicators,and reduce pain and incidence of complications.