Efficacy analysis of percutaneous kyphoplasty by biplane puncture in the treatment of ASOTLF
Aim To investigate the effect of percutaneous kyphoplasty(PKP)in the treatment of patients with acute symp-tomatic osteoporotic vertebral compression fractures(ASOTLF).Methods A total of 85 patients with ASOTLF undergoing PKP were selected and divided into observation group(traditional unilateral puncture)and control group(biplane puncture)according to different puncture methods.The operation time,intraoperative fluoroscopy times,bone cement injection volume,bone cement leakage rate,bone cement distribution uniformity,functional recovery and pain improvement were compared between the two groups.Results Compared with the control group,the operation time of the observation group was significantly longer,and the number of intr-aoperative fluoroscopy was significantly more(P＜0.05).The uniformity of bone cement in the observation group was significantly higher than that in the control group(P＜0.05).There was no significant difference in other surgical related indexes between the two groups(P＞0.05).The height of the anterior edge of the injured vertebrae at 1 day and 12 months after operation was significantly higher than that before operation(P＜0.05),and the Cobb angle was significantly smaller than that before operation(P＜0.05).There was no significant difference in the height of the anterior edge of the injured vertebra and the Cobb angle of the injured vertebra between the observation group and the control group before operation,1 day after operation and 12 months after operation(P＞0.05).The VAS and ODI scores of the two groups at 1 day and 12 months after operation were significantly lower than those before operation(P＜0.05).There was no significant difference in VAS score and ODI between the observation group and the control group before op-eration,1 day after operation and 12 months after operation(P＞0.05).Conclusion The effect of biplane puncture PKP in the treatment of ASOTLF is satisfactory,and the uniformity of bone cement distribution in biplane puncture approach is better.
万方数据
维普
