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Clinical significance of modified unilateral puncture percutaneous vertebroplasty guided by 3D- printed guides in the treatment of osteoporotic vertebral compression fractures: a retrospective study.
Gao, Tao; Wan, Sheng-Yu; Chen, Zhi-Yu; Li, Tao; Lin, Xu; Hu, Hai-Gang; Tang, Jian-Dong; Wu, Chao.
Afiliación
  • Gao T; Orthopaedics of Zigong Fourth People's Hospital, Zigong, 643000, Sichuan, China.
  • Wan SY; Orthopaedics of Zigong Fourth People's Hospital, Zigong, 643000, Sichuan, China.
  • Chen ZY; Respiratory Medicine of Zigong Fourth People's Hospital, Zigong, 643000, Sichuan, China. gottead1331@163.com.
  • Li T; Orthopaedics of Zigong Fourth People's Hospital, Zigong, 643000, Sichuan, China.
  • Lin X; Orthopaedics of Zigong Fourth People's Hospital, Zigong, 643000, Sichuan, China. 1695823217@qq.com.
  • Hu HG; Orthopaedics of Zigong Fourth People's Hospital, Zigong, 643000, Sichuan, China.
  • Tang JD; Orthopaedics of Zigong Fourth People's Hospital, Zigong, 643000, Sichuan, China.
  • Wu C; Orthopaedics of Zigong Fourth People's Hospital, Zigong, 643000, Sichuan, China.
BMC Musculoskelet Disord ; 25(1): 656, 2024 Aug 21.
Article en En | MEDLINE | ID: mdl-39169286
ABSTRACT

OBJECTIVE:

To investigate the clinical significance of using 3D printing guides in modified unilateral puncture percutaneous vertebroplasty (PVP) for the treatment of osteoporotic vertebral compression fractures (OVCF), and to explore a new method for preventing paravertebral vein leakage during PVP in conjunction with a previous study of the optimal puncture-side bone cement/vertebral volume ratio(PSBCV/VV%).

METHODS:

This retrospective study analyzed 99 patients who underwent unilateral puncture PVP between January 2023 and December 2023. Patients were divided into a guide plate group (46 patients) and a conventional group (53 patients). The guide plate group underwent modified unilateral puncture PVP with the guidance of 3D printing guides, while the conventional group underwent unilateral puncture PVP using the conventional pedicle approach. The distribution of bone cement, surgical outcomes, and the occurrence of cement leakage into paravertebral veins were observed in both groups.

RESULTS:

The guide plate group had significantly shorter operating time and required fewer fluoroscopies compared to the conventional group. The amount of bone cement volume (BCV) used in the guide plate group was higher, but the amount of bone cement volume on the puncture side(PSBCV), the PSBCV/VV%, and the rate of paravertebral vein leakage were lower in the guide plate group compared to the conventional group (P < 0.05). Within each group, significant improvements in anterior vertebral margin height, Cobb angle, visual analog scale (VAS) score, and Oswestry Disability Index (ODI) were observed at 1 day and 1 month postoperatively compared to preoperative values (P < 0.05).

CONCLUSION:

Using 3D printing guides in modified unilateral puncture PVP is a safe and effective method for treating OVCF. And it has the advantages of short operation time, less fluoroscopy, even distribution of bone cement, and a low rate of paravertebral vein leakage.
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Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Cementos para Huesos / Fracturas de la Columna Vertebral / Fracturas por Compresión / Vertebroplastia / Fracturas Osteoporóticas / Impresión Tridimensional Límite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: BMC Musculoskelet Disord Asunto de la revista: FISIOLOGIA / ORTOPEDIA Año: 2024 Tipo del documento: Article País de afiliación: China

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Cementos para Huesos / Fracturas de la Columna Vertebral / Fracturas por Compresión / Vertebroplastia / Fracturas Osteoporóticas / Impresión Tridimensional Límite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: BMC Musculoskelet Disord Asunto de la revista: FISIOLOGIA / ORTOPEDIA Año: 2024 Tipo del documento: Article País de afiliación: China