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Journal of Orthopaedic Surgery and Research

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Open Access 01-12-2019 | Research article

A second puncture and injection technique for treating osteoporotic vertebral compression fractures

Authors: Zhaofei Zhang, Feng Jiao, He Huang, Yonghui Feng, Chunliang Xie, Donghua Liu, Fengwei Qin, Sineng Zhang, Peiyu Wu, Weiguang Tan, Wang Tang

Published in: Journal of Orthopaedic Surgery and Research | Issue 1/2019

Abstract

Objective

To evaluate the clinical effect of the second puncture and injection technique during a percutaneous vertebroplasty (PVP) procedure.

Methods

Patients treated with a second puncture and injection (group A) or a single puncture and injection (group B) during PVP at our institution during 2010–2017 were reviewed. Vertebral height loss, visual analogue scale (VAS) score, Oswestry disability index (ODI), adjacent vertebral fractures, and cement leakage were compared between the groups.

Results

A total of 193 patients were enrolled (86 cases in group A, 107 cases in group B). The follow-up period was 15.64 (12–20) months. The loss of anterior (group A 0.01 ± 0.03; group B 0.14 ± 0.17) and middle (group A 0.13 ± 0.12; group B 0.16 ± 0.11) vertebral height in group B was significantly higher than that in group A (P < 0.05). The VAS score and ODI were also significantly higher in group B than in group A at the final follow-up; the VAS score and ODI in group B were 1.65 ± 0.70 and 14.50 ± 4.16, respectively, and those in group A were 1.00 ± 0.74 and 12.81 ± 4.02, respectively (P < 0.05). Three patients in group A and two in group B experienced adjacent vertebral fractures. Regarding mild, moderate, and severe cement leakage, there were 25 (29%), 5 (5%), and 0 cases, respectively, in group A and 28 (26%), 3 (2.8%), and 1 (0.009%) case, respectively, in group B (P > 0.05).

Conclusions

The second puncture and injection technique may effectively increase the dispersion of cement, thus preventing recompression of the cemented vertebral body, and it does not increase the risk of cement leakage or adjacent vertebral fracture.

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Title: A second puncture and injection technique for treating osteoporotic vertebral compression fractures
Authors: Zhaofei Zhang
Feng Jiao
He Huang
Yonghui Feng
Chunliang Xie
Donghua Liu
Fengwei Qin
Sineng Zhang
Peiyu Wu
Weiguang Tan
Wang Tang
Publication date: 01-12-2019
Publisher: BioMed Central
Published in: Journal of Orthopaedic Surgery and Research / Issue 1/2019
Electronic ISSN: 1749-799X
DOI: https://doi.org/10.1186/s13018-019-1498-x

At a glance: The STEP trials

Springer Medicine

A second puncture and injection technique for treating osteoporotic vertebral compression fractures

Abstract

Objective

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Objective

Methods

Results

Conclusions

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