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Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition) ›› 2022, Vol. 08 ›› Issue (02): 117-122. doi: 10.3877/cma.j.issn.2096-0263.2022.02.008

• Review • Previous Articles     Next Articles

Research progress of different puncture approaches in vertebroplasty for osteoporotic vertebral compression fractures

Chenxi Gu, Xiao Yu, Anquan Huang, Yefeng Wang, Xiaoqiang Cai, Jun Shen, Tianming Zou()   

  1. Department of Spinal Surgery, The Affiliated Suzhou Hospital of Nanjing Medical University, Gusu School, Nanjing Medical University, Suzhou Municipal Hospital, Suzhou 215000, China
  • Received:2021-08-23 Online:2022-04-05 Published:2023-07-17
  • Contact: Tianming Zou

Abstract:

Osteoporotic vertebral compression fractures (OVCF) are the most-common osteoporotic fractures, which seriously affect the quality of life of affected patients. Relieving pain and restoring functional activities as soon as possible are the primary purpose in the treatment of OVCF. Nevertheless, the efficacy of conservative treatments is not satisfactory, and long-term bed rest is prone to a series of complications. Percutaneous vertebroplasty (PVP) is the main method for the treatment of OVCF. Research progress has been continuously made on puncture approaches used in PVP, aiming to enhance the surgical safety and efficacy. Generally, intrapedicular approach and extrapedicular approach are commonly used in PVP, which have different indications and points to consider. So far, how to select the optimal puncture approach in PVP is controversial. Combined with our clinical experiences and the latest research progress, this study aims to analyze and compare the effect of different puncture approaches in PVP on the prognosis of OVCF patients, thus providing a reference for selecting the optimal puncture approach in PVP.

Key words: Osteoporotic fractures, Spinal fractures, Vertebroplasty

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