Clinical Observation of Percutaneous Vertebroplasty in the Treatment of Old Unstable Osteoporotic Spinal Fractures

XIE Liangliang

doi:10.14033/j.cnki.cfmr.2025.19.004

Abstract：Objective:To explore the application value of percutaneous vertebroplasty in the treatment of old unstable osteoporotic spinal fractures.Method:83 cases of old unstable osteoporotic spinal fractures in the hospital from September 2021 to September 2023 were selected,and divided into PVP group and PKP group according to surgical methods,with 41 and 42 patients in each group,respectively.PKP group underwent percutaneous kyphoplasty,while the PVP group underwent percutaneous kyphoplasty.The spinal condition(Cobb angle and anterior vertebral height),mobility(Oswestry disability index,ODI),the incidence of adverse reactions(respiratory/reproductive system infections,deep vein thrombosis,constipation,adjacent vertebral compression fractures)were compared between the two groups.Result:The anterior vertebral height of both groups of patients significantly increased 3 and 6 months after surgery,but the improvement of various indicators in the PKP group was better than that in the PVP group(P<0.05).The clinical indicators and postoperative recovery of the PVP group were superior to those of the PKP group,with statistically significant difference(P<0.05).3 and 6 months after surgery,the ODI index scores of both groups of patientsdecreased significantly,and there was no significant difference in the level(P>0.05).The incidence of adverse reactions in the PVP group was slightly lower than that in the PKP group,but there was no statistically significant difference(P>0.05).Conclusion:For patients with old and unstable osteoporotic spinal fractures,percutaneous vertebroplasty can effectively improve spinal condition,increase daily activity level,and have a short recovery period.The treatment cost is also quite affordable.However,compared to kyphoplasty,the risk of pathological fractures after surgery is slightly higher.Therefore,when selecting a surgical plan,individual differences and the actual condition of the patient should be taken into account.