Analysis of the Relationship between MRI Signal and PVP Treatment Effect in Patients with Osteoporotic Vertebral Compression Fractures
Objective:To explore the relationship between magnetic resonance imaging(MRI)signals and the therapeutic effect of percutaneous vertebroplasty(PVP)in patients with osteoporotic vertebral compression fractures(OVCF).Methods:82 OVCF patients who underwent PVP surgery in our hospital from October 2020to October 2023 were selected as the study subjects,all of whom underwent MRI ex-amination.According to the degree of MRI signal bone marrow edema,they were divided into three groups:no bone marrow edema group,partial bone marrow edema group,and complete bone marrow edema group.Compare the perioperative visual analog pain score(VAS),vertebral height,Cobb angle,Os-westry Dysfunction Index(ODI)score,and vertebral body re fracture incidence among three groups.Re-sults:At 1 week and 3 months after surgery,the VAS score,ODI score,and Cobb angle of the complete bone marrow edema group were lower than those of the partial bone marrow edema group and the non bone marrow edema group.The anterior,middle,and posterior heights of the vertebral body were higher than those of the partial bone marrow edema group and the non bone marrow edema group(P＜0.05).The incidence of vertebral re fracture in the complete bone marrow edema group was 0,lower than that in the partial bone marrow edema group(5.26％)and the non bone marrow edema group(20.00％)(P＜0.05).Con-clusion:There is a certain correlation between MRI signal characteristics and the therapeutic effect of PVP in OVCF patients.The larger the range of MRI bone marrow edema,the better the therapeutic effect of PVP,and the lower the incidence of vertebral re fracture.
万方数据
维普
