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European Journal of Medical Research

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Open Access 01-12-2020 | Osteoporosis | Research

Comparison of a flexible versus rigid bone cement injection system in unilateral percutaneous vertebroplasty

Authors: Yuwei Li, Wei Cui, Peng Zhou, Cheng Li, Yan Wen, Wei Xiao

Published in: European Journal of Medical Research | Issue 1/2020

Abstract

Background

Percutaneous vertebroplasty (PVP) has been demonstrated to be effective in the treatment of acute osteoporotic vertebral fracture (AOVF). However, bilateral puncture takes more time to accept more X-ray irradiation; some scholars apply unilateral puncture PVP, but the cement cannot be symmetrically distributed in the vertebral body, so we use a flexible cement injector that undergoes PVP through the unilateral pedicle puncture. This research aims to compare the clinical results of PVP for AOVF with unilateral pedicle puncture using a straight bone cement injector and a bendable cement injector, determine the value of a bendable cement injector.

Methods

We undertook a retrospective analysis of patients with thoracic and lumbar compression fracture treated with unilateral pedicle puncture percutaneous vertebroplasty from our institution from June 2013 to July 2015. Operation time, radiation exposure, bone cement injection amount, and the incidence of bone cement leakage were recorded on presentation, the cement leakage was measured by X-ray and computed tomography scan. The patients were followed up postoperatively and were assessed mainly with regard to clinical and radiological outcomes.

Results

There was no significant difference in the operation time, radiation exposure time and incidence of bone cement leakage between the two groups. There was significant difference in the amount of bone cement injection and the difference between the two groups. There were no significant differences in VAS and the relative height of the vertebral body and local Cobb angle and QUALEFFO between the two groups at 1 week after PVP, significant difference was observed only 12 months after operation.

Conclusions

Application of flexible cement injector is safe and feasible, compared with the application of straight bone cement injector, without prolonging the operative time, radiation exposure time and the incidence of bone cement leakage; it has the advantages of good long-term effect and low incidence of vertebral fracture recurrence.

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Title: Comparison of a flexible versus rigid bone cement injection system in unilateral percutaneous vertebroplasty
Authors: Yuwei Li
Wei Cui
Peng Zhou
Cheng Li
Yan Wen
Wei Xiao
Publication date: 01-12-2020
Publisher: BioMed Central
Keywords: Osteoporosis
Osteoporosis
Published in: European Journal of Medical Research / Issue 1/2020
Electronic ISSN: 2047-783X
DOI: https://doi.org/10.1186/s40001-020-00436-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Comparison of a flexible versus rigid bone cement injection system in unilateral percutaneous vertebroplasty

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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