CT-guided bone cement injection combined with artificial tiger bone meal to repair osteoporotic vertebral compression fractures：callus growth and bone healing

Min Peng; Zhang Yan-ping; Cao Hong

doi:10.3969/j.issn.2095-4344

Abstract：BACKGROUND:Minimaly invasive surgery for osteoporotic vertebral compression fractures obtained apparent effects. This method can support the vertebral height recovered and hardness, relieve the pain, and achieve early activity. However, long-term bed rest after surgery wil induce many complications, and the prognosis wil be not ideal. At present, many Chinese herbs have been used to restore osteoporotic vertebral compression fractures. <br> OBJECTIVE:To observe calus formation and fracture healing in patients with osteoporotic vertebral compression fractures repaired by CT-guided minimaly invasive surgery with bone cement injection and artificial tiger bone meal. <br> METHODS:A total of 85 cases of osteoporotic vertebral compression fractures were selected. Patients were randomly divided into observation group (n=43) and control group (n=42). Patients in the observation and control groups respectively received CT-guided minimaly invasive percutaneous vertebroplasty, matching with artificial tiger bone meal andJiegu Qili pil. Calus growth, fracture healing and pain relief time were observed in the two groups. <br> RESULTS AND CONCLUSION:The calus growth was good in patients of the observation group, mainly grade III and IV, and significantly better than in the control group (P < 0.05). Pain relief time and healing time were significantly shorter in the observation group than in the control group (P < 0.05). The excelent and good rate of Japanese Orthopaedic Association score was significantly better in the observation group than in the control group (P < 0.05). These results suggested that CT-guided minimaly invasive percutaneous vertebroplasty in the combination with bone cement injection for osteoporotic vertebral compression fractures can obtain evident effects. The combined use of artificial tiger bone meal has a good promoting effect on fracture healing.