生物骨科材料与临床研究2025，Vol.22Issue(4)：54-59,6.DOI:10.3969/j.issn.1672-5972.2025.04.010
多角度骨道预制穿刺法行经皮弯角椎体成形术治疗轻度骨质疏松性椎体压缩骨折的疗效分析
Efficacy analysis of multi-angle bone channel pre-formation puncture in percutaneous curved vertebroplasty for mild osteoporotic vertebral compression fractures
郝国兵 1庄丽丽 1乔林 1张楠 1刘昆 1李唐波 1宋迪煜 1朱泽兴 1韩振川1
作者信息
- 1. 中国人民解放军火箭军特色医学中心骨科,北京,100088
- 折叠
摘要
Abstract
Objective To compare the efficacy and safety of multi-angle bone channel pre-formation puncture versus conventional puncture in percutaneous curved vertebroplasty(PCVP)for mild osteoporotic vertebral compression fractures(OVCF).Methods A retrospective analysis was conducted on 115 patients with mild OVCF who underwent PCVP at the Rocket Army Characteristic Medical Center of PLA from October 2022 to April 2024.Of these patients,60 patients were treated with the multi-angle bone channel pre-formation puncture method,while 55 received the conventional puncture method.The two groups were compared in terms of operative time,bone cement volume,cement leakage rate,cement distribution grading,visual analog scale(VAS)score,Oswestry disability index(ODI),anterior vertebral height,and Cobb angle.Clinical outcomes were evaluated at the final follow-up using the modified MacNab criteria.Results All surgeries were successfully completed.Patients were followed up for an average of(8.19±2.05)months(range 6-12 months).The multi-angle bone channel pre-formation group had a longer operative time[(37.42±4.56)min]compared to the conventional puncture group[(35.55±5.24)min],the difference was statistically significant(P<0.05).The bone cement volume in the multi-angle group[(5.73±0.68)mL]was significantly higher than that in the conventional group[(4.42±0.58)mL],the difference was statistically significant(P<0.05);but there was no significant difference in leakage rates(P>0.05).The excellent rate of bone cement distribution grading in the multi-angle group(90.00%)was significantly higher than that in the conventional group(63.64%),the difference was statistically significant(P<0.05).Postoperatively,both groups showed significant improvements in VAS,ODI,anterior vertebral height,and Cobb angle(P<0.05).At the final follow-up,the incidence of vertebral height loss in the multi-angle group(6.67%)was lower than that in the conventional group(20.00%),and the excellent rate based on the MacNab criteria was significantly higher in the multi-angle group(91.67%)compared to the conventional group(72.73%),the difference was statistically significant(P<0.05).Conclusion Both the multi-angle bone channel pre-formation puncture method and the conventional puncture method are effective for treating mild OVCF in PCVP.The multi-angle method has advantages in terms of cement distribution,complication rates and clinical outcomes,although it takes longer to perform.Further validation of its long-term efficacy is warranted.关键词
骨质疏松性椎体压缩骨折/经皮弯角椎体成形术/多角度骨道预制穿刺法/骨水泥分布Key words
Osteoporotic vertebral compression fracture/Percutaneous curved vertebroplasty/Multi-angle bone channel pre-formation puncture/Bone cement distribution分类
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郝国兵,庄丽丽,乔林,张楠,刘昆,李唐波,宋迪煜,朱泽兴,韩振川..多角度骨道预制穿刺法行经皮弯角椎体成形术治疗轻度骨质疏松性椎体压缩骨折的疗效分析[J].生物骨科材料与临床研究,2025,22(4):54-59,6.
