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Vesselplasty versus vertebroplasty in the treatment of osteoporotic vertebral compression fractures with posterior wall rupture

机译:血管成型与椎骨成形术治疗骨质疏松椎体压缩骨折与后壁破裂

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Objective This study was performed to compare the effectiveness and safety of vesselplasty versus vertebroplasty in the treatment of osteoporotic compression fractures with posterior wall rupture. Methods Patients who underwent treatment of a single osteoporotic vertebral compression fracture with posterior wall rupture from January 2016 to February 2020 were retrospectively reviewed. They were divided into a vesselplasty group (n?=?17) and a vertebroplasty group (n?=?43). Pain relief, radiographic outcomes, and bone cement leakage were compared between the two groups. Results There were no significant differences in the operation time, postoperative pain relief, vertebral compression recovery, or local Cobb angle improvement between the two groups. However, the overall bone cement leakage rate (29.4% vs. 67.4%) and spinal canal leakage rate (0.0% vs. 30.2%) were significantly lower in the vesselplasty group than vertebroplasty group. Conclusions Vesselplasty offers similar pain relief and vertebral compression recovery but lower spinal canal leakage compared with vertebroplasty. Vesselplasty is thus a better option than vertebroplasty for patients with osteoporotic compression fractures with posterior wall rupture.
机译:目的是进行该研究,以比较容器的有效性和安全性与椎骨成形术治疗骨质疏松压缩骨折的骨质骨折骨折。方法回顾性审查了从2016年1月到2020年1月从后壁破裂处理单一骨质疏松椎体压缩骨折的患者。它们分为血管成分组(n?=α17)和椎体成形术组(n?= 33)。在两组之间比较了疼痛缓解,放射线摄影和骨水泥渗漏。结果操作时间,术后疼痛缓解,椎体压缩恢复或两组之间的局部Cobb角度改善无显着差异。然而,在血管术组的总骨水泥泄漏率(29.4%与67.4%)和脊柱管泄漏率(0.0%vs.30.2%)比椎体成形术组显着降低。结论容器术术提供类似的疼痛缓解和椎体压缩恢复,但与椎体成形术相比,脊柱管泄漏较低。因此,容器比例是骨质疏松压缩骨折患者的椎体成形术,与后壁破裂的患者更好。

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