Robot-assisted Percutaneous Vertebroplasty for the Treatment of Osteoporotic Vertebral Compression Fractures
Objective To compare the clinical efficacy of orthopedic surgical robot and conventional C-arm assisted percutaneous vertebroplasty(PVP)for the treatment of patients with osteoporotic vertebral compression fractures(OVCF).Methods A total of 223 patients diagnosed with OVCF and treated with PVP in the Second Affiliated Hospital of Xuzhou Medical University were retrospectively analyzed,and they were divided into the study group and the control group according to the difference of surgical methods.The study group utilized orthopedic surgical robot-assisted PVP in 115 cases,including 22 males and 93 females,aged 65～92 years,with a mean of(77.52±6.87)years;the control group utilized traditional C-arm-assisted PVP in 108 cases,including 21 males and 87 females,aged 65～94 years,with a mean of(76.01±6.37)years.The preoperative,1-day postoperative,and 6-month postoperative visual analogue scale(VAS)scores,Oswestry disability index(ODI),and Cobb angle of the operated vertebrae of the patients in the two groups were compared,and the preoperative preparation time,operation time,cement infusion volume,intraoperative fluoroscopic dose,cement intermediate connection rate,cement leakage rate,and the success rate of one puncture in the two groups were compared.Results All patients were followed up for 6～12 months with a mean of(9.38±2.06)months.The 1-day postoperative and 6-month postoperative VAS scores,ODI and Cobb angle of the patients in both groups were significantly improved compared with the preoperative ones,and the differences were statistically significant(P＜0.05),but there was no statistically significant difference in the comparison between the two groups(P＞0.05).There was no statistically significant difference in the amount of bone cement infusion between the two groups(P＞0.05).The differences in preoperative preparation time,surgical operation time,intraoperative fluoroscopic dose,bone cement intermediate connection rate,bone cement leakage rate,and one-time puncture success rate between the two groups were statistically significant(P＜0.05).Conclusion Both orthopedic surgical robots and conventional C-arm-assisted PVP provide rapid and favorable clinical outcomes,but the former significantly reduces surgical operative time,cement leakage,radiation uptake,and improves the rate of cemented intermediate joints and the success rate of a single puncture.
万方数据
维普
