Percutanous kyphoplasty and vesselplasty for osteoporotic vertebral compression fracture
HOU Dong-po
HAI Yong
KANG Nan
YANG Lin
Abstract：Objective To observe the clinical outcomes of percutanous kyphoplasty ( PKP ) and vesselplasty for osteoporotic vertebral compression fractures ( OVCF ). Methods From September 2016 to December 2016, the data of 68 patients with OVCF were retrospectively analyzed. Among them, 34 patients were treated with PKP ( PKP Group, 13 males and 21 females ), with an average age of ( 67.21 ± 5.79 ) years ( range: 52 - 88 years ); 34 patients were treated with vesselplasty ( Vesselplasty Group, 11 males and 23 females ), with an average of ( 68.06 ± 5.22 ) years ( range: 53 - 89 years ). Three days postoperatively, 1 month postoperatively, in the latest follow-up, pain and daily life functions were respectively assessed by visual analogue scale ( VAS ) and Oswestry index ( ODI );the height of the responsible vertebra, Cobb's angle were measured by X-rays. Results Eight cases complicated with bone cement leakage in PKP Group, while 1 in Vesselplasty Group. All patients were followed up for more than 3 months. The mean operation time was ( 31.65 ± 3.06 ) min in Vesselplasty Group, and ( 37.97 ± 5.41 ) min in PKP Group, with significant differences ( P < 0.05 ). The mean number of times of intraoperative fluoroscopy was ( 10.71 ± 1.87 ) in Vesselplasty Group, and ( 14.32 ± 2.52 ) in PKP Group, with significant differences ( P < 0.05 ). Compared with preoperative index,postoperative VAS score(Vesselplasty Group:8.12 ± 0.73 preoperatively vs.2.82 ± 1.31 3 days postoperatively;PKP Group:8.03 ± 0.87 preoperatively vs.2.74 ± 1.42 3 days postoperatively)and ODI score (Vesselplasty Group:82.79 ± 3.34 preoperatively vs.29.18 ± 5.46 3 days postoperatively;PKP Group:82.44 ± 3.58 preoperatively vs. 28.74 ± 5.33 3 days postoperatively)within two groups were greatly improved with significant differences ( P < 0.01 ). Compared with preoperative indexes, anterior height of the responsible vertebra ( Vesselplasty Group:63.32 ± 4.26 preoperatively vs.79.21 ± 3.41 3 days postoperatively;PKP Group:62.76 ± 4.06 preoperatively vs.78.09 ± 3.90 3 days postoperatively),middle height of responsible vertebra(Vesselplasty Group:67.12 ± 4.31 preoperatively vs.83.35 ± 3.47 3 days postoperatively;PKP Group:66.81 ± 4.57 preoperatively vs.81.82 ± 3.93 3 days postoperatively)and Cobb's angle of responsible vertebra(Vesselplasty Group:18.94 ± 3.22 preoperatively vs.9.98 ± 2.14 postoperatively;PKP Group:19.26 ± 2.80 preoperatively vs.10.76 ± 2.37 3 days postoperatively)within two groups were greatly improved with significant differences ( P < 0.01 ). Between the two groups, the anterior height of the responsible vertebra in the Vesselplasty Group was better than those in the PKP Group(79.21 ± 3.41 vs.78.09 ± 3.90 ), with statistical significance ( P < 0.05 ). The middle height of the responsible vertebra in the Vesselplasty Group was better than those in the PKP Group(83.35 ± 3.47 vs.81.82 ± 3.93),with statistical significance(P<0.05).The Cobb's angle of the responsible vertebra in the Vesselplasty Group was better than those in the PKP Group ( 9.98 ± 2.14 vs.10.76 ± 2.37),with statistical significance(P<0.05).Conclusions Both methods can obviously relieve pain, and completely or partly improve daily life functions of patients with OVCF. But compared with PKP, vesselplasty has advantages of shorter operation time and less intraoperative fluoroscopy. Vesselplasty is more effective to restore the height and Cobb's angle of the responsible vertebra, significantly reducing the leakage rate of the bone cement. Vesselplasty can be applied in the treatment of OVCF patients with compromised vertebral walls.
Keywords：Spinal fracturesOsteoporotic fracturesFracturescompressionKyphoplastyVertebroplasty
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：7( 120-126 )