Therapeutic effects of unilateral percutaneous vertebroplasty for vertebral compression fractures with various bone mineral densities
QIAN Dongyang
BAI Bo
YAN Guangbin
LU Yonghui
Abstract：Objective To evaluate the efficiency of unilateral percutaneous vertebroplasty (PVP) in the treatment of vertebral compression fracture (VCF) with various bone mineral densities (BMD). Methods Eighty-six elderly patients with VCF performed unilateral PVP in the First Affiliated Hospital of Guangzhou Medical University. They were divided into 2 groups according to the preoperative BMD, group A (BMD<-2.5 S, n = 54 ) and group B (BMD≥-2.5 S, n = 32 ). Perioperative visual analog scale (VAS) score, postoperative radiological images of bone cement distribution and complications were compared between 2 groups. Results All patients were followed up for 6-12 months (average, 8.3 months). Postoperative VAS scores improved compared with the preoperative data in two groups (P <0.05); there were no significant differences in either VAS score or complication incidence (P>0.05). The excellent rate of bone cement distribution in A group was better than that in B group (P <0.05). Conclusions Unilateral PVP could relieve back pain and thus obtain good therapeutic effects for VCF patients with various BMD. There seems to have advantages in patients with lower BMD for bone cement distribution, and BMD might be one of the impact factors for bone cement distribution.
Keywords：VertebroplastySpinal fracturesOsteoporosisBone densityPainBone cement
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 32-37 )