Journal of Orthopaedic Surgery and Research (Dec 2019)

A second puncture and injection technique for treating osteoporotic vertebral compression fractures

  • Zhaofei Zhang,
  • Feng Jiao,
  • He Huang,
  • Yonghui Feng,
  • Chunliang Xie,
  • Donghua Liu,
  • Fengwei Qin,
  • Sineng Zhang,
  • Peiyu Wu,
  • Weiguang Tan,
  • Wang Tang

DOI
https://doi.org/10.1186/s13018-019-1498-x
Journal volume & issue
Vol. 14, no. 1
pp. 1 – 7

Abstract

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Abstract Objective To evaluate the clinical effect of the second puncture and injection technique during a percutaneous vertebroplasty (PVP) procedure. Methods Patients treated with a second puncture and injection (group A) or a single puncture and injection (group B) during PVP at our institution during 2010–2017 were reviewed. Vertebral height loss, visual analogue scale (VAS) score, Oswestry disability index (ODI), adjacent vertebral fractures, and cement leakage were compared between the groups. Results A total of 193 patients were enrolled (86 cases in group A, 107 cases in group B). The follow-up period was 15.64 (12–20) months. The loss of anterior (group A 0.01 ± 0.03; group B 0.14 ± 0.17) and middle (group A 0.13 ± 0.12; group B 0.16 ± 0.11) vertebral height in group B was significantly higher than that in group A (P 0.05). Conclusions The second puncture and injection technique may effectively increase the dispersion of cement, thus preventing recompression of the cemented vertebral body, and it does not increase the risk of cement leakage or adjacent vertebral fracture.

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