Chinese Journal of Modern Operative Surgery  2018, Vol. 22 Issue (4): 266-269 DOI: 10.16260/j.cnki.1009-2188.2018.04.007 |
| Clinical Research |
|
|
|
|
|
| Effects of Highviscosity Cement and Lowerviscosity Cement in PVP for Elderly Patients with Severe Osteoporosis Thoracolumbar Vertebral Fractures#br#
#br# |
| WANG Fuyong, YE Zuozhou#br#
|
Department of Orthopedics, Qingpu Branch of Zhongshan Hospital Affiliated to Fudan University, Shanghai 201799, China
|
|
|
|
Abstract Abstract:ObjectiveTo compare the effects of two kinds of cement viscosities on percutaneous vertebroplasty (PVP) in elderly patients with severe osteoporotic thoracolumbar fractures.Methods
A total of 82 elderly patients with severe osteoporotic thoracolumbar fractures admitted in our hospital from January 2013 to January 2017 were enrolled in this study. All patients were treated with PVP. Patients were divided into the observation group (n=41) and the control group (n=41) according to the random number table method. Patients in the observation group were treated with highviscosity cement in the operation, and patients in the control group were treated with lowerviscosity cement in the operation. The Cobb angle, vertebral body height and bone cement leakage rates were compared between the two groups.ResultsThere was no significant difference in the Cobb angle, the percentage of the height of the anterior margin of the injured vertebrae, and the percentage of the height of the posterior margin of the injured vertebrae (P>0.05). After treatments, the Cobb angle decreased, and the percentage of the height of the injured anterior margin and the percentage of the height of the posterior margin of the injured vertebrae increased in both two groups. But the Cobb angle of the observation group was lower than that of the control group, and the percentage of the height of the anterior margin and the posterior margin of the injured vertebra was higher than that of the control group, and the difference was statistically significant (P<0.05). The total leakage rate of bone cement in the observation group and the control group was 7.32% and 21.95%, respectively, and the control group was significantly higher than the observation group. The difference was statistically significant (P<0.05).Conclusion The highviscosity bone cement used in PVP surgery can effectively correct the kyphosis Cobb angle, improve the height of the injured vertebrae, and reduce the incidence of bone cement leakage, which can be further promoted and used in clinical practice.
|
|
Published: 23 October 2018
|
|
|
|
|
|
|
|
