Comparative Study of Two Surgical Procedures for Osteoporotic Delayed Vertebral Collapse

Tai-bang CHEN; Sheng LU; Dong-qiang SU; Rong-mao SHI; Jing-long LIANG

doi:10.12259/j.issn.2095-610X.S20210203

Volume 42 Issue 2

Mar. 2021

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Article Navigation > Journal of Kunming Medical University > 2021 > 42(2): 124-129

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

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Comparative Study of Two Surgical Procedures for Osteoporotic Delayed Vertebral Collapse

doi: 10.12259/j.issn.2095-610X.S20210203

1.
Institute of Trauma and Orthopedics，the No. 920 Hospital of Joint Logistics Support force of PLA，Yunnan 650032
2.
The Outpatient Department of the Second Dimission Cadre Rest Home in Kunming，Yunnan Military Area Command，Kunming Yunnan 650033，China

Received Date: 2020-11-19
Publish Date: 2021-03-05

Abstract

Abstract

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.
- Osteoporotic delayed vertebral collapse,
- Posterior fixation with vertebroplasty,
- Percutaneous balloon kyphoplasty

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References(19)

References

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