Preoperative CT Three-Dimensional Reconstruction in Evaluating the Clinical Value of Osteoporotic Vertebral Compression Fractures
Objective To explore the application value of CT 3D reconstruction in the diagnosis and treatment of osteopo-rotic vertebral compression fractures (OVCF). Methods The clinical data of 70 patients with OVCF admitted to the First Hospi-tal of Northwest University from January 2021 to November 2022 were retrospectively collected. Using intraoperative findings of the painful vertebral body as the gold standard,the diagnostic efficacy of CT 3D reconstruction for identifying the painful vertebral body was evaluated. The pedicle outer width (POW) measured by CT 3D reconstruction of different vertebrae was compared. Compare the POW values of the spine from T11 to L5 in patients of different ages and genders,and evaluate the effectiveness of surgical treatment. Results This study included 70 patients with OVCF who met the inclusion criteria,with a total of 170 vertebrae. The gold standard for the diagnosis of the 116 responsible vertebrae during the treatment of PVP or PKP was the preoperative CT three-dimensional reconstruction,with sensitivity,specificity,and accuracy of 0.948,0.926,and 0.941,respectively. There was a significant statistical difference in the POW value determined by preoperative CT three-dimensional reconstruction for different vertebrae (P<0.05);except for L1,the POW value of male OVCF patients in other vertebrae was significantly greater than that of female patients (P<0.05). The spinal POW values of T11～L5 in OVCF patients<75 years old were significantly higher than in those ≥75 years old (P<0.05).
Osteoporotic vertebral compression fracturePreoperativeCT 3D reconstructionPedicle outer width
万方数据
维普
