Analysis of the efficacy of personalized digital-assisted percutaneous vertebroplasty with unilateral punc-ture in the treatment of thoracolumbar osteoporotic fractures
Objective To explore the clinical efficacy of preoperative CT-based personalized digital-assisted percutaneous ver-tebroplasty with unilateral puncture in the treatment of thoracolumbar osteoporotic vertebral compression fractures.Methods A retro-spective analysis was performed on 53 cases of thoracolumbar osteo-porotic vertebral compression fractures treated from January 2020 to January 2023.28 patients received personalized digital design-assist-ed unilateral puncture PVP(the observation group),while the other 25 patients received conventional bilateral puncture PVP(the control group).The operation duration,the number of intraoperative fluoros-copy,the amount of bone cement injection and the bone cement leak-age rate were compared between the two groups.The pain VAS scores,ODI scores and Cobb Angle of the injured vertebra were com-pared between the two groups before surgery,1 day after surgery,3 months after surgery,and at the last follow-up.Results The op-eration was successfully completed in both groups.The operation duration,the number of intraoperative fluoroscopy,the amount of bone cement injection and the bone cement leakage rate in the observation group were significantly lower than those in the control group(P<0.05).There were no significant differences in VAS score,ODI scores and Cobb Angle of injured vertebra between the two groups be-fore surgery,1 day after surgery,3months after surgery,and at the last follow-up(P>0.05).Conclusion Personalized digital-assist-ed unilateral puncture PVP can reduce the number of intraoperative fluoroscopy and the operation duration,improve puncture accura-cy and reduce related complications,with satisfactory clinical efficacy.
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