中国骨伤2025，Vol.38Issue(2)：128-133,6.DOI:10.12200/j.issn.1003-0034.20230284
侧方开口与前方开口骨水泥注射器经皮椎体后凸成形术治疗胸腰椎骨质疏松性椎体压缩骨折比较
Comparison of side-opening and front-opening approach bone cement injectors in percutaneous kyphoplasty for tho-racolumbar osteoporotic vertebral compression fractures
摘要
Abstract
Objective To compare clinical efficacy between side-opening and front-opening bone cement injectors in per-cutaneous kyphoplasty(PKP)for the management of thoracolumbar osteoporotic vertebral compression fractures(OVCFs).Methods A retrospective cohort study was conducted,comprising 62 patients with single-segment thoracolumbar OVCFs(T11-L2),who underwent bilateral PKP at our department during the period from June 2020 to October 2021.Patients were catego-rized into two groups based on the specific bone cement injector employed during the surgical procedure:the side-opening group(n=29)and the front-opening group(n=33).Among them,the side-opening group consisted of 6 male and 23 female pa-tients,with a mean age of(73.32±9.11)years.The front-opening group included 7 male and 26 female patients,with a mean age of(71.29±10.39)years.The variables encompassed essential patient characteristics were recorded,such as gender,age,bone mineral density(BMD),and fracture level(T11-L2),as well as procedural aspects,including operation duration,cement injection volume,cement distribution type(lobular or diffuse),occurrence of cement leakage,pre-and post-operative visual analogue scale(VAS)pain scores,and vertebral compression ratio.Results All patients underwent successful surgery,with a mean follow-up duration of(15.37±3.03)months.There were no statistically significant differences in gender,age,BMD,frac-ture level,preoperative vertebral compression degree,and VAS scores between the side-opening group and the front-opening group(P＞0.05).The operation time,the mean cement injection volumes,the distribution of bone cement within the vertebrae has no statistically significant difference between two groups(P＞0.05).Both the side-opening and front-opening groups showed significant improvements in VAS scores at 3 days and 6 months after operation(P＜0.05).However,there was no significant difference in VAS scores between the two groups at both 3 days and 6 months after the operation(P＞0.05).Conclusion Side-opening bone cement injectors in bilateral PKP surgery for single-segment thoracolumbar OVCF achieve similar clinical effica-cy as front-opening injectors,without significant improvement in cement distribution and containment.关键词
椎体压缩性骨折/骨质疏松/经皮椎体后凸成形术/骨水泥注射器Key words
Vertebral compression fractures/Osteoporosis/Percutaneous kyphoplasty(PKP)/Bone cement injector分类
临床医学引用本文复制引用
董伟鑫,储振涛,胡勇,赖欧杰,袁振山,孙肖阳..侧方开口与前方开口骨水泥注射器经皮椎体后凸成形术治疗胸腰椎骨质疏松性椎体压缩骨折比较[J].中国骨伤,2025,38(2):128-133,6.基金项目
2022年度宁波市卫生健康科技计划项目(编号:2022Y41) （编号:2022Y41）
2023年度鄞州区农业与社会发展科技项目(编号:2023AS022)2022 Ningbo Municipal Health Science and Technology Plan Project(No.2022Y41) （编号:2023AS022）
