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学科主题: 临床医学
题名:
Unipedicular versus bipedicular percutaneous vertebroplasty for osteoporotic vertebral compression fractures: a prospective randomized study
作者: Zhang, Liang1; Liu, Zhongjun2; Wang, Jingcheng1; Feng, Xinmin1; Yang, Jiandong1; Tao, Yuping1; Zhang, Shengfei1
关键词: Osteoporotic vertebral compression fractures ; Unipedicular ; Bipedicular ; Vertebroplasty
刊名: BMC MUSCULOSKELETAL DISORDERS
发表日期: 2015-06-14
DOI: 10.1186/s12891-015-0590-6
卷: 16
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Orthopedics ; Rheumatology
研究领域[WOS]: Orthopedics ; Rheumatology
关键词[WOS]: HIGH-VISCOSITY CEMENT ; BALLOON KYPHOPLASTY ; CONSERVATIVE TREATMENT ; BONE-CEMENT ; LEAKAGE ; METAANALYSIS ; AUGMENTATION ; PREVALENCE
英文摘要:

Background: Percutaneous vertebroplasty (PVP) typically involves conventional lower-viscosity cement injection via bipedicular approach. Limited evidence is available comparing the clinical outcomes and complications in treating osteoporotic vertebral compression fractures (OVCFs) with PVP using high-viscosity cement through unipedicular or bipedicular approach.

Methods and design: Fifty patients with OVCFs were randomly allocated into two groups adopting unipedicular or bipedicular PVP. The efficacy of unipedicular and bipedicular PVP was assessed by comparing operation time, X-ray exposure time, incidence of complications, vertebral height restoration, and improvement of the visual analogue scale (VAS), Oswestry disability index (ODI) and Short Form-36 (SF-36) General Health Survey scores.

Results: The mean operative and exposure time to X-rays in the unipedicular PVP group was less than that of the bipedicular group (p < 0.05). No statistically significant differences were observed in the VAS score, ODI score, SF-36 score, cement leakage rate or vertebral height restoration between the two groups (p > 0.05).

Conclusion: Unipedicular and bipedicular PVP are safe and effective treatments for OVCF. Compared with bipedicular PVP, unipedicular PVP entails a shorter surgical time and lower X-ray irradiation.

语种: 英语
所属项目编号: 81401830 ; BK 20140496
项目资助者: National Natural Science Foundation for Young Scholars of China ; Natural Science Foundation for Young Scholars of Jiangsu Province, China
WOS记录号: WOS:000356135000001
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/58358
Appears in Collections:北京大学第三临床医学院_骨科_期刊论文

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作者单位: 1.Yangzhou Univ, Dept Orthoped, Clin Med Coll, Subei Peoples Hosp Jiangsu Prov, Yangzhou 225001, Jiangsu, Peoples R China
2.Peking Univ, Dept Orthopaed, Hosp 3, Beijing 100191, Peoples R China

Recommended Citation:
Zhang, Liang,Liu, Zhongjun,Wang, Jingcheng,et al. Unipedicular versus bipedicular percutaneous vertebroplasty for osteoporotic vertebral compression fractures: a prospective randomized study[J]. BMC MUSCULOSKELETAL DISORDERS,2015,16.
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