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Percutaneous vertebroplasty for single osteoporotic vertebral body compression fracture

Results of unilateral 3-D percutaneous puncture technique

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Abstract

Background: Percutaneous vertebroplasty (PVP) has been gradually used for osteoporotic vertebral compression fracture (OVCF) treatment, but severe osteoporotic vertebral body compression fractures (sOVCFs) due to the difficulty in performing a puncture and the characteristics of the fractured vertebrae, it has been considered as a contraindication to PVP. The aim of the following study was to evaluate the feasibility of a unilateral, three-dimensional (3D), accurate puncture in percutaneous vertebroplasty (PVP) for a single, severely osteoporotic vertebral body compression fracture (ssOVCFs).

Materials and Methods: 57 patients received PVP in the current study. Feasibility of a unilateral approach was judged before surgery using the 64-slice helical computed tomography (CT) multiplanar reconstruction technique, a 3D accurate puncture plan was then determined. The skin bone distance, puncture angle and needle insertion depth were recorded during surgery. 2D CT rechecking was performed for any complication at day 1 after operation. Preoperative and postoperative numerical data were compared.

Results: The procedure was completed smoothly in all patients. 2D CT scanning at day 1 after operation did not show any puncture related complications. Visual analog scoring (VAS) showed that the score at day 3 after surgery was reduced to 1.7 ± 0.4 (0–2.9 scale) from the preoperative 7.9 ± 2.1 (6.1–9.5 scale). No significant differences in measure numerical data were found before and after the surgery. At 12 months followup three patients presented with nonadjacent level fractures, VAS for other patients were 1.2 ± 0.3 (0–2.1 scale).

Conclusions: Application of CT scanning for a unilateral 3D puncture design helps realize an accurate puncture in PVP. It is a safe and effective method for ssOVCFs treatment.

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Authors and Affiliations

  1. Department of Radiology, The Second Affiliated Hospital of Southeast University, No. 1-1, Zhongfu Road, Nanjing, 21003, China

    Chuan-Jun Xu & Xi-Qi Zhu

  2. Department of Radiology, Zibo Qidu Hospital, Zibo, Shan Dong, 255400, China

    Hong-De Li, Hong Wang, Wen Liu & Xi-Jing Jiang

Authors
  1. Hong-De Li
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  2. Chuan-Jun Xu
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  3. Hong Wang
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  4. Wen Liu
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  5. Xi-Jing Jiang
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  6. Xi-Qi Zhu
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Correspondence to Chuan-Jun Xu.

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Li, HD., Xu, CJ., Wang, H. et al. Percutaneous vertebroplasty for single osteoporotic vertebral body compression fracture. IJOO 49, 245–250 (2015). https://doi.org/10.4103/0019-5413.152514

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  • DOI: https://doi.org/10.4103/0019-5413.152514

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