Clinical Study on Percutaneous Curved Vertebroplasty in the Treatment of Osteoporotic Vertebral Compression Fractures

FENG Jiawei; LI Peiyan; SHI Jiangyuan; LIN Yizhong; LIANG Huijian; WU Yunyan; GUAN Meiqing; HUANG Huiting

doi:10.14033/j.cnki.cfmr.2025.17.001

Abstract：Objective:To explore the value of percutaneous curved vertebroplasty(PCVP)in the treatment of osteoporotic vertebral compression fractures(OVCF).Method:A total of 120 patients with OVCF who admitted to the Department of Spine and Joint Orthopedics of Jiangmen People's Hospital from April 2023 to October 2024 were selected,and they were divided into group A,group B and group C by random number table method,with 40 cases in each group.Group A was treated with traditional unilateral percutaneous vertebroplasty(PVP),group B was treated with traditional bilateral PVP,and group C was treated with PCVP.The operation related indexes,vertebral body shape,lumbar function and complications among three groups were counted and compared.Result:The operation time of group C was shorter than those of group A and group B,the bleeding volume was less than those of group A and group B,the distribution of bone cement was better than those of group A and group B,and the incidence of complications was lower than those of group A and group B,the differences were statistically significant(P<0.05);there was no significant difference in the number of intraoperative fluoroscopy among three groups(P>0.05).At 6 months after operation,the Cobb angle,vertebral compression rate,Oswestry disability index(ODI)scores and visual analogue scale(VAS)scores of three groups were lower than those before operation,and those of group C were lower than those of group A and group B,the differences were statistically significant(P<0.05).Conclusion:PCVP in the treatment of OVCF patients can ensure effective dispersion of bone cement,shorten operation time,reduce bleeding volume,and effectively improve vertebral body shape,regulate lumbar function and reduce the risk of complications.