| Effect of anterior-posterior fluoroscopy monitored pedicle drilling kyphoplasty on the treatment of osteoporotic vertebral compression fracture |
| Received:March 03, 2021 Revised:April 15, 2021 Click here to download the full text |
| Citation of this paper:ZHANG Wen-tong,HONG Wei-xiang,HUANG Jin-wang,Mersali YASEN,XIA Qing,LI Xi-lei,WANG Hui-ren.Effect of anterior-posterior fluoroscopy monitored pedicle drilling kyphoplasty on the treatment of osteoporotic vertebral compression fracture[J].Chinese Journal of Clinical Medicine,2021,28(4):618-621 |
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| Author Name | Affiliation | E-mail | | ZHANG Wen-tong | Department of Orthopaedics, Xiamen Branch, Zhongshan Hospital, Fudan University, Xiamen 360015, Fujian, China | | | HONG Wei-xiang | Department of Orthopaedics, Xiamen Branch, Zhongshan Hospital, Fudan University, Xiamen 360015, Fujian, China | | | HUANG Jin-wang | Department of Orthopaedics, Xiamen Branch, Zhongshan Hospital, Fudan University, Xiamen 360015, Fujian, China | | | Mersali YASEN | Department of Orthopaedics, Xiamen Branch, Zhongshan Hospital, Fudan University, Xiamen 360015, Fujian, China | | | XIA Qing | Department of Orthopaedics, Zhongshan Hospital, Fudan University, Shanghai 200032, China | | | LI Xi-lei | Department of Orthopaedics, Zhongshan Hospital, Fudan University, Shanghai 200032, China | | | WANG Hui-ren | Department of Orthopaedics, Zhongshan Hospital, Fudan University, Shanghai 200032, China | wanghuiren340@163.com |
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| Abstract:Objective: To evaluate the early outcome and safety of percutaneous kyphoplasty using anterior-posterior (AP) fluoroscopic film to monitor the pedicle drilling for the treatment of the osteoporotic vertebral compression fracture (OVCF) of the thoracolumbar spine. Methods: From August 2018 to August 2020, 55 patients with OVCF of the thoracolumbar spine received percutaneous kyphoplasty. The surgery was performed by anterior-posterior and lateral fluoroscopic (AP-L group, n=29) or anterior-posterior fluoroscopic guidance combined with preoperatively CT planning for pedicle drilling (AP group, n=26). The age, preoperative vertebral height, amount of bone cement injected, the leakage of cement, operation time, fluoroscopic times, and the preoperative and postoperative pain visual analogue scores (VAS) were evaluated between the two groups. Results: There was no significant difference in the mean age and preoperative vertebral height between the two groups. The mean injected cement volume ([5.08±0.70] mL vs[5.77±0.79] mL), the operation time ([32.69±5.03] min vs[44.93±6.16] min), and the fluoroscopic examination times (25 vs 32) in the AP group were significantly less than those in the AP-L group (P<0.01). There was no significant difference in the leakage rate and the VAS between the two groups. Conclusions: The efficacy and safety of percutaneous kyphoplasty guided by unique anterior-posterior fluoroscopic film for the treatment of thoracolumbar OVCF are similar to conventional fluoroscopic guiding with less operating time and X-ray exposure. |
| keywords:kyphoplasty osteoporotic vertebral compression fracture anterior-posterior fluoroscopy operation time |
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