临床骨科杂志2025，Vol.28Issue(1)：6-10,5.DOI:10.3969/j.issn.1008-0287.2025.01.003
两种入路经皮弯角椎体成形术治疗骨质疏松性椎体压缩骨折的疗效比较
Effect comparison of percutaneous curved vertebroplasty via two approaches on osteoporotic vertebral compression fractures
摘要
Abstract
Objective To compare the efficacy of percutaneous curved vertebroplasty(PCVP)with posterolateral-su-perior approach and transpedicular approach on the osteoporotic vertebral compression fracture(OVCF).Methods According to different surgical approaches,86 patients with OVCFs were divided into group A(41 cases were treated by PCVP with unilateral posterolateral-superior approach),and group B(45 cases were treated by PCVP with unilater-al transpedicular appraoch).The operation conditions,fracture healing,pain VAS,Cobb angle of the injured vertebra and complication incidence were compared between the two groups.Results All patients were followed up for 3～6 months.The operative time in group A was shorter than that in group B(P<0.05),and the distribution grade of bone cement in group A was better than that in group B(P<0.05).There were no statistical differences in intraoperative fluoroscopy frequency,the volume of bone cement injection and postoperative hospitalization time between the two groups(P>0.05).At 3 months after operation,all fractures of both groups healed well.Pain VAS and Cobb angle of injured vertebra:They were lower at 1 week,1,3 months after surgery,compared with those before surgery(P<0.05),and there were no statistical significance between the two groups at each time-point after surgery(P>0.05).The incidence of bone cement leakage in group A was lower than that in group B(P<0.05),and there were no statis-tical differences in the incidence of re-fracture of the injured vertebrae,adjacent vertebral fracture and intercostal nerve injury between two groups(P>0.05).Conclusions Both the posterolateral-superior approach and transpedic-ular approach undergoing PCVP can relive the patients′pain,corrrect the kyphosis deformity,while posterolateral-su-perior approach has shorter operation time,better bone cement distribution effect,and lower incidence rate of bone ce-ment leakage.关键词
后外上方入路/经椎弓根入路/经皮弯角椎体成形术/骨质疏松性椎体压缩骨折/骨水泥渗漏Key words
posterolateral-superior approach/transpedicular approach/percutaneous curved vertebroplasty/osteoporot-ic vertebral compression fractures/bone cement leakage分类
医药卫生引用本文复制引用
兰向宇,蒙永晖,赖少华..两种入路经皮弯角椎体成形术治疗骨质疏松性椎体压缩骨折的疗效比较[J].临床骨科杂志,2025,28(1):6-10,5.基金项目
广西壮族自治区贺州市科技局科学研究与技术开发计划项目(编号:贺科技202295) （编号:贺科技202295）
