Clinical efficacy of vertebroplasty in the treatment of occult osteoporotic vertebral fracture with different cement distribution

doi:10.3877/cma.j.issn.2096-0263.2020.02.003

Abstract

Abstract:

Objective

To retrospectively analyze and compare the clinical efficacy of vertebroplasty in the treatment of recessive osteoporotic vertebral fractures with different cement distribution.

Methods

According to the shape of bone cement after treatment, the patients were divided into two groups: sponge distribution group and lump distribution group. The patients in the two groups were compared following indexes: general condition, basic condition during operation, evaluation of macnab effect after operation, VAS score and ODI score before and 2 months after operation.

Results

130 cases of tacit osteoporotic vertebral fractures were treated by vertebroplasty. There were 62 cases in sponge distribution group and 68 cases in lump distribution group. There was no difference between the two groups in general condition. ①There was significant difference in the amount of bone cement injection between the spongy distribution group and the mass distribution group (P<0.01). The amount of bone cement injection in the spongy distribution group was less than that in the mass distribution group. ② The VAS score and ODI score of the two groups were lower than that of the group before operation (P<0.01), and the VAS score and ODI score of the sponge distribution group were lower than that of the lump distribution group (P<0.01). ③ In the evaluation of the curative effect of macnab, the excellent rate of sponge distribution was 95.16%; the excellent rate of lump distribution group was 83.82%; the excellent rate of sponge distribution group was better than that of lump distribution group (P<0.05).

Conclusion

In the treatment of recessive osteoporotic vertebral fracture by vertebroplasty, compared with mass bone cement injection, sponge bone cement injection can effectively reduce the amount of bone cement, and achieve better clinical results, which is worthy of clinical promotion.

Key words: Vertebroplasty, Osteoporosis, Recessive vertebral fractures

Yangang Wu, Yan Cui, Haibo Shen, Xintong. Zhao. Clinical efficacy of vertebroplasty in the treatment of occult osteoporotic vertebral fracture with different cement distribution[J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2020, 06(02): 74-79.

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Figures/Tables 6

References 20

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组别	例数	年龄（岁，±s）	性别（例）		BMI（kg/cm², ±s)	单椎体骨折	双椎体骨折	骨折椎体节段分布（例）
组别	例数	年龄（岁，±s）	男	女	BMI（kg/cm², ±s)	（例）	（例）	T10	T₁₁	T₁₂	L₁	L₂	L₃	L₄
海绵状分布组	62	74±4	19	43	24.0±1.9	59	3	7	10	11	11	9	9	5
团块状分布组	68	73±5	24	44	24.2±2.1	62	6	9	7	9	10	12	9	12
统计值		0.768	0.317		-0.853	-0.	891	-1.194
P值		0.444	0.574		0.395	0.3	73	0.232

组别	例数	年龄（岁，±s）	性别（例）		BMI（kg/cm², ±s)	单椎体骨折	双椎体骨折	骨折椎体节段分布（例）
组别	例数	年龄（岁，±s）	男	女	BMI（kg/cm², ±s)	（例）	（例）	T10	T₁₁	T₁₂	L₁	L₂	L₃	L₄
海绵状分布组	62	74±4	19	43	24.0±1.9	59	3	7	10	11	11	9	9	5
团块状分布组	68	73±5	24	44	24.2±2.1	62	6	9	7	9	10	12	9	12
统计值		0.768	0.317		-0.853	-0.	891	-1.194
P值		0.444	0.574		0.395	0.3	73	0.232

组别	例数	手术时间(min)	出血量(ml)	骨水泥注射量(ml)
海绵状分布组	62	33±4	15.2±1.8	4.5±0.4
团块状分布组	68	34±4	15.4±2.0	5.3±1.0
t值		-1.294	-0.555	-6.342
P值		0.198	0.580	<0.01

组别	例数	手术时间(min)	出血量(ml)	骨水泥注射量(ml)
海绵状分布组	62	33±4	15.2±1.8	4.5±0.4
团块状分布组	68	34±4	15.4±2.0	5.3±1.0
t值		-1.294	-0.555	-6.342
P值		0.198	0.580	<0.01

组别	例数	VAS评分		t值	P值	ODI评分		t值	P值
组别	例数	术前	术后2个月	t值	P值	术前	术后2个月	t值	P值
海绵状分布组	62	7.4±1.2	2.0±0.7	30.992	<0.01	37±3	18.8±2.1	41.091	<0.01
团块状分布组	68	7.5±1.8	2.9±0.7	19.727	<0.01	37±4	25.0±2.5	22.323	<0.01
t值		-0.491	-6.953			-0.967	-14.841
P值		0.624	<0.01			0.335	<0.01

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