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Haibier A, Yusufu A, Lin H, Kayierhan A, Abudukelimu Y, Aximu A, Abudurexiti T. Effect of different cement distribution in bilateral and unilateral Percutaneous vertebro plasty on the clinical efficacy of vertebral compression fractures. BMC Musculoskelet Disord 2023; 24:908. [PMID: 37996830 PMCID: PMC10666391 DOI: 10.1186/s12891-023-06997-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/10/2023] [Accepted: 10/29/2023] [Indexed: 11/25/2023] Open
Abstract
BACKGROUND The ramifications of osteoporotic fractures and their subsequent complications are becoming progressively detrimental for the elderly population. This study evaluates the clinical ramifications of postoperative bone cement distribution in patients with osteoporotic vertebral compression fractures (OVCF) who underwent both bilateral and unilateral Percutaneous Vertebroplasty (PVP). OBJECTIVE The research aims to discern the influence of bone cement distribution on the clinical outcomes of both bilateral and unilateral Percutaneous Vertebroplasty. The overarching intention is to foster efficacious preventive and therapeutic strategies to mitigate postoperative vertebral fractures and thereby enhance surgical outcomes. METHODS A comprehensive evaluation was undertaken on 139 patients who received either bilateral or unilateral PVP in our institution between January 2018 and March 2022. These patients were systematically classified into three distinct groups: unilateral PVP (n = 87), bilateral PVP with a connected modality (n = 29), and bilateral PVP with a disconnected modality (n = 23). Several operational metrics were juxtaposed across these cohorts, encapsulating operative duration, aggregate hospital expenses, bone cement administration metrics, VAS (Visual Analogue Scale) scores, ODI (Oswestry Disability Index) scores relative to lumbar discomfort, postoperative vertebral height restitution rates, and the status of the traumatized and adjacent vertebral bodies. Preliminary findings indicated that the VAS scores for the January and December cohorts were considerably reduced compared to the unilateral PVP group (P = 0.015, 0.032). Furthermore, the recurrence of fractures in the affected and adjacent vertebral structures was more pronounced in the unilateral PVP cohort compared to the bilateral PVP cohorts. The duration of the procedure (P = 0.000) and the overall hospitalization expenses for the unilateral PVP group were markedly lesser than for both the connected and disconnected bilateral PVP groups, a difference that was statistically significant (P = 0.015, P = 0.024, respectively). Nevertheless, other parameters, such as the volume of cement infused, incidence of cement spillage, ODI scores for lumbar discomfort, post-surgical vertebral height restitution rate, localized vertebral kyphosis, and the alignment of cement and endplate, did not exhibit significant statistical deviations (P > 0.05). CONCLUSION In juxtaposition with unilateral PVP, the employment of bilateral PVP exhibits enhanced long-term prognostic outcomes for patients afflicted with vertebral compression fractures. Notably, bilateral PVP significantly curtails the prevalence of subsequent vertebral injuries. Conversely, the unilateral PVP cohort is distinguished by its abbreviated operational duration, minimal invasiveness, and reduced overall hospitalization expenditures, conferring it with substantial clinical applicability and merit.
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Affiliation(s)
- Abuduwupuer Haibier
- Department of Orthopedics of Trauma, Sixth Afliated Hospital of Xinjiang Medical University, Orthopaedic Hospital of Xinjiang Uygur Autonomous Region, No.39 Wuxing Road, Urumqi, People's Republic of China
- Xinjiang Medical University, Uygur Autonomous Region, Urumqi, Xinjiang, People's Republic of China
| | - Alimujiang Yusufu
- Department of Orthopedics of Trauma, Sixth Afliated Hospital of Xinjiang Medical University, Orthopaedic Hospital of Xinjiang Uygur Autonomous Region, No.39 Wuxing Road, Urumqi, People's Republic of China
- Xinjiang Medical University, Uygur Autonomous Region, Urumqi, Xinjiang, People's Republic of China
| | - Hang Lin
- Department of Orthopedics of Trauma, Sixth Afliated Hospital of Xinjiang Medical University, Orthopaedic Hospital of Xinjiang Uygur Autonomous Region, No.39 Wuxing Road, Urumqi, People's Republic of China
- Xinjiang Medical University, Uygur Autonomous Region, Urumqi, Xinjiang, People's Republic of China
| | - Aiben Kayierhan
- Department of Orthopedics of Trauma, Sixth Afliated Hospital of Xinjiang Medical University, Orthopaedic Hospital of Xinjiang Uygur Autonomous Region, No.39 Wuxing Road, Urumqi, People's Republic of China
- Xinjiang Medical University, Uygur Autonomous Region, Urumqi, Xinjiang, People's Republic of China
| | - Yimuran Abudukelimu
- Department of Orthopedics of Trauma, Sixth Afliated Hospital of Xinjiang Medical University, Orthopaedic Hospital of Xinjiang Uygur Autonomous Region, No.39 Wuxing Road, Urumqi, People's Republic of China
- Xinjiang Medical University, Uygur Autonomous Region, Urumqi, Xinjiang, People's Republic of China
| | - Alimujiang Aximu
- Department of Orthopedics of Trauma, Sixth Afliated Hospital of Xinjiang Medical University, Orthopaedic Hospital of Xinjiang Uygur Autonomous Region, No.39 Wuxing Road, Urumqi, People's Republic of China
- Xinjiang Medical University, Uygur Autonomous Region, Urumqi, Xinjiang, People's Republic of China
| | - Tuerhongjiang Abudurexiti
- Department of Orthopedics of Trauma, Sixth Afliated Hospital of Xinjiang Medical University, Orthopaedic Hospital of Xinjiang Uygur Autonomous Region, No.39 Wuxing Road, Urumqi, People's Republic of China.
- Xinjiang Medical University, Uygur Autonomous Region, Urumqi, Xinjiang, People's Republic of China.
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Li Z, Xie Z, Tang G, Jin S. Comparison of percutaneous balloon compression and microvascular decompression in the treatment of trigeminal neuralgia. Pak J Med Sci 2023; 39:1451-1455. [PMID: 37680844 PMCID: PMC10480759 DOI: 10.12669/pjms.39.5.8049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2023] [Revised: 06/12/2023] [Accepted: 06/27/2023] [Indexed: 09/09/2023] Open
Abstract
Objective To compare the effect of percutaneous balloon compression (PBC) and microvascular decompression (MVD) in the treatment of trigeminal neuralgia (TN). Methods Data of 98 patients with TN, admitted to Chenzhou First People's Hospital from May 2020 to May 2022, were retrospectively collected. Patients were divided into two groups based on the surgical method. A total of 53 patients treated with PBC comprised the PBC-group and 45 patients treated with MVD comprised the MVD-group. The immediate pain relief, long-term efficacy, surgical complications, and masticatory muscle strength of the two groups were compared and analyzed. Results There was no significant difference in the immediate pain relief and long-term e efficacy, between the two groups (P>0.05). Complication rate in the PBC-group was significantly lower than that in the MVD-group (3.77% vs 17.78%, P<0.05). Medical records within 14 days after the operation showed that the incidence of facial numbness and masticatory muscle weakness in the PBC-group were 37.74% and 28.30% respectively, significantly higher than those in MVD-group (4.44% and 2.22%) (P<0.05). These symptoms gradually improved three months after the surgery, and were almost completely resolved after six months. Conclusions Compared with MVD, PBC has the same effect in the treatment of TN. PBC is a minimally invasive, safe, and effective method with a low complication rate. Although masticatory muscle strength is slightly impacted by PBC, it gradually recovers within six months after the operation.
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Affiliation(s)
- Zhenyong Li
- Zhenyong Li, Department of Neurosurgery, Chenzhou First People’s Hospital, Chenzhou 423000, Hunan Province, P.R. China
| | - Zhuqing Xie
- Zhuqing Xie, Department of Neurosurgery, Chenzhou First People’s Hospital, Chenzhou 423000, Hunan Province, P.R. China
| | - Guoqiang Tang
- Guoqiang Tang, Department of Neurosurgery, Chenzhou First People’s Hospital, Chenzhou 423000, Hunan Province, P.R. China
| | - Shihui Jin
- Shihui Jin, Department of Neurosurgery, Chenzhou First People’s Hospital, Chenzhou 423000, Hunan Province, P.R. China
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Yang J, Ni P, Zhang L, Lu Z, Liu D, Mo F, Liu T. Clinical Application of a 3D-Printed Positioning Module and Navigation Template for Percutaneous Vertebroplasty. Surg Innov 2021; 29:760-768. [PMID: 34961370 DOI: 10.1177/15533506211062404] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND This study aimed to evaluate a personalized 3D-printed percutaneous vertebroplasty positioning module and navigation template based on preoperative CT scan data that was designed to treat patients with vertebral compression fractures caused by osteoporosis. METHODS A total of 22 patients with vertebral compression fractures admitted to our hospital were included in the study. Positioning was performed with the new 3D-printed positioning module, and the navigation template was used for patients in the experimental group, and the traditional perspective method was used for patients in the control group. The experimental group consisted of 11 patients, 2 males and 9 females, with a mean age of 67.27 ± 11.86 years (range: 48 to 80 years), and the control group consisted of 11 patients, 3 males and 8 females, with a mean age of 74.27 ± 7.24 years (range: 63 to 89 years). The puncture positioning duration, number of intraoperative fluoroscopy sessions, and preoperative and postoperative visual analog scale (VAS) scores were statistically analyzed in both groups. RESULTS The experimental group had shorter puncture positioning durations and fewer intraoperative fluoroscopy sessions than the control group, and the differences were statistically significant (P < .05). There were no significant differences in age or preoperative or postoperative VAS scores between the two groups (P > .05). CONCLUSIONS The new 3D-printed vertebroplasty positioning module and navigation template shortened the operation time and reduced the number of intraoperative fluoroscopy sessions. It also reduced the difficulty in performing percutaneous vertebroplasty and influenced the learning curve of senior doctors learning this operation to a certain degree.
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Affiliation(s)
- Jing Yang
- Department of Orthopedics, 571957The Second Xiangya Hospital, Central South University, Changsha, Hunan, China.,Department of Orthopedics, The Fifth Affiliated Hospital, 74790Xinjiang Medical University, Urumqi, Xinjiang, China
| | - Penghui Ni
- Department of Orthopedics, The First People's Hospital of Jingmen City, Jingmen, Hubei, China
| | - Lina Zhang
- Department of Psychiatry, 571957The Second Xiangya Hospital, Central South University, Changsha, Hunan, China
| | - Zhanxin Lu
- Department of Orthopedics, The Fifth Affiliated Hospital, 74790Xinjiang Medical University, Urumqi, Xinjiang, China
| | - Dapeng Liu
- Department of Orthopedics, The Fifth Affiliated Hospital, 74790Xinjiang Medical University, Urumqi, Xinjiang, China
| | - Fuhao Mo
- 528787College of Mechanical and Vehicle Engineering, Hunan University, Changsha, Hunan, China
| | - Tang Liu
- Department of Orthopedics, 571957The Second Xiangya Hospital, Central South University, Changsha, Hunan, China
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