Volume 42 Issue 2
Mar.  2021
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Tai-bang CHEN, Sheng LU, Dong-qiang SU, Rong-mao SHI, Jing-long LIANG. Comparative Study of Two Surgical Procedures for Osteoporotic Delayed Vertebral Collapse[J]. Journal of Kunming Medical University, 2021, 42(2): 124-129. doi: 10.12259/j.issn.2095-610X.S20210203
Citation: Tai-bang CHEN, Sheng LU, Dong-qiang SU, Rong-mao SHI, Jing-long LIANG. Comparative Study of Two Surgical Procedures for Osteoporotic Delayed Vertebral Collapse[J]. Journal of Kunming Medical University, 2021, 42(2): 124-129. doi: 10.12259/j.issn.2095-610X.S20210203

Comparative Study of Two Surgical Procedures for Osteoporotic Delayed Vertebral Collapse

doi: 10.12259/j.issn.2095-610X.S20210203
  • Received Date: 2020-11-19
  • Publish Date: 2021-03-05
  •   Objective  To explore the effective treatment for osteoporotic delayed vertebral collapse.  Methods  Between March 2013 and March 2018, a total of 46 patients with osteoporotic delayed vertebral fracture with no or mild neurological symptoms were enrolled in our hospitals. 24 patients underwent posterior fixation with vertebroplasty(PFV group), and 22 patients underwent percutaneous balloon kyphoplasty(PKP group). The clinical results, imaging parameters and long-term complications were compared between the two groups.  Results  Postoperative PFV group had significantly higher vertebrae height and local Cobb angle recovery than PKP group(P < 0.001). The VAS score and ODI score in the PKP group were better than those in the PFV group(P = 0.03). There was no significant difference between the two groups at the last follow-up(P = 0.28). In the PFV group, 3 cases(12.5%)had adjacent vertebral fractures, 3 cases(16.7%)had internal fixation loosening, and 1 case(4.5%)had revision surgery. In the PKP group, 4 cases had severe kyphosis, 2 cases had neurological symptoms, and 2 cases underwent revision surgery.  Conclusions  Both PFV and PKP for delayed osteoporosis vertebral collapse can achieve satisfactory clinical results. PFVB is indicated for patients with a significant change in the sagittal position of the spine, whereas PKP is suitable for a single vertebral body and no significant changes in the sagittal plane of the spine.
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