Clinical efficacy of unilateral and bilateral percutaneous vertebroplasty combined with high viscosity bone cement in the treatment of thoracolumbar osteoporotic vertebral compression fractures
Objective:To analyze the effects of combining unilateral percutaneous vertebroplasty and bilateral percutaneous vertebroplasty on patients with thoracolumbar osteoporotic vertebral compression fractures receiving high viscosity bone cement treatment.Method:Seventy patients with osteoporotic vertebral compression fractures of the thoracolumbar spine were selected and divided into two groups according to different treatment methods,with 35 cases in unilateral group and 35 in bilateral group.Unilateral group received unilateral percutaneous vertebroplasty combined with high viscosity bone cement treatment,while Bilateral group received bilateral percutaneous vertebroplasty combined with high viscosity bone cement treatment.Result:Compared to Bilateral group,Unilateral group had significantly lower intraoperative bone cement dosage,surgical time,and fluoroscopy frequency(P＜0.05).Compared to before treatment,the anterior vertebral height was higher in both groups after treatment(P＜0.05),while the Cobb angle was smaller(P＜0.05),and ODI and VAS scores were lower(P＜0.05).Conclusion:When selecting high viscosity bone cement for the treatment of thoracolumbar osteoporotic vertebral compression fractures,using a unilateral approach can effectively reduce the number of fluoroscopy times and shorten surgical operation time.
vertebral compression fractureosteoporosisthoracic and lumbar vertebraehigh viscosity bone cementpercutaneous vertebroplasty
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