Analysis of the influence of bone cement dispersion range on the therapeutic effect during percutaneous vertebroplasty

DENG Jianfeng; PENG Chengzhong; ZHOU Hai; ZENG Qinghu

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Journal of Hunan Normal University(Medical Science) ›› 2024, Vol. 21 ›› Issue (4) : 69-72.

Clinical Medicine

Analysis of the influence of bone cement dispersion range on the therapeutic effect during percutaneous vertebroplasty

DENG Jianfeng, PENG Chengzhong, ZHOU Hai, ZENG Qinghu

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Abstract

Objective To investigate the effect of bone cement dispersion distribution on the clinical efficacy and pain relief of percutaneous vertebroplasty (PVP) for the treatment of osteoporotic spinal fractures. Methods A retrospective analysis was conducted on 100 patients with osteoporotic vertebral compression fractures (OVCF) who underwent PVP treatment at the affiliated xiangdong Hospital of Hunan Normal University from January 2021 to January 2023. The degree of bone cement dispersion was evaluated based on postoperative X-ray films, and the patients were divided into a well dispersed group (n=57) and a poorly dispersed group (n=43). Comparing the general information, VAS score, anterior vertebral height ratio, and postoperative recovery rate of mid column height between two groups of patients. Results The VAS scores of the two groups on the 3rd day after the operation, the 3rd month after the operation and the 6th month after the operation were lower than the preoperative period. There was no statistical difference in the VAS score of the two groups at the same time before and after the operation; the anterior edge height ratio of the vertebral edge of the patients in the good dispersion group was significantly higher than that of the poor dispersion group, the degree of the vertebral collapse of the patients in the well dispersed group was significantly lower than that of the poorly dispersed group, and the postoperative middle column height recovery rate of the patients in the well dispersed group was significantly higher than that of the poorly dispersed group. Conclusion PVP surgery for OVCF can effectively alleviate pain, and the better the dispersion of bone cement, the more significant the supportive effect it plays.

Key words

osteoporosis / compression fractures / vertebroplasty / bone cement / curative effect

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DENG Jianfeng, PENG Chengzhong, ZHOU Hai, ZENG Qinghu. Analysis of the influence of bone cement dispersion range on the therapeutic effect during percutaneous vertebroplasty[J]. Journal of Hunan Normal University(Medical Science). 2024, 21(4): 69-72

References

[1] ASPRAY TJ, HILL TR.Osteoporosis and the Ageing Skeleton[J]. Subcell Biochem, 2019, 91: 453-476.
[2] JOHNSTON CB, DAGAR M.Osteoporosis in Older Adults[J]. Med Clin North Am, 2020, 104(5): 873-884.
[3] JINDAL V, BINYALA S, KOHLI SS.Balloon kyphoplasty versus percutaneous vertebroplasty for osteoporotic vertebral body compression fractures: clinical and radiological outcomes[J]. Spine J, 2023, 23(4): 579-584.
[4] ALVI MA, ZREIK J, YOLCU YU, et al.Comparison of Costs and Postoperative Outcomes between Vertebroplasty and Kyphoplasty for Osteoporotic Vertebral Compression Fractures: Analysis from a State-Level Outpatient Database[J]. World Neurosurg, 2020, 141: e801-e814.
[5] BUCHBINDER R, JOHNSTON RV, RISCHIN KJ, et al. Percutaneous vertebroplasty for osteoporotic vertebral compression fracture[J]. Cochrane Database Syst Rev, 2018, 4 (4): CD006349.
[6] WATTS NB, CAMACHO PM, LEWIECKI EM, et al.American Association of Clinical Endocrinologists/American College of Endocrinology Clinical Practice Guidelines for the Diagnosis and Treatment of Postmenopausal Osteoporosis-2020 Update[J]. Endocr Pract, 2021, 27(4): 379-380.
[7] SUNG YT, WU JS.The Visual Analogue Scale for Rating, Ranking and Paired-Comparison (VAS-RRP): A new technique for psychological measurement[J]. Behav Res Methods, 2018, 50(4): 1694-1715.
[8] ERHAN B, ATAKER Y.Rehabilitation of Patients With Osteoporotic Fractures[J]. J Clin Densitom, 2020, 23(4): 534-538.
[9] YONG EL, LOGAN S.Menopausal osteoporosis: screening, prevention and treatment[J]. Singapore Med J, 2021, 62(4): 159-166.
[10] XIE L, ZHAO ZG, ZHANG SJ, et al.Percutaneous vertebroplasty versus conservative treatment for osteoporotic vertebral compression fractures: An updated meta-analysis of prospective randomized controlled trials[J]. Int J Surg, 2017, 47: 25-32.
[11] KARMAKAR A, ACHARYA S, BISWAS D, et al. Evaluation of Percutaneous Vertebroplasty for Management of Symptomatic Osteoporotic Compression Fracture[J]. J Clin Diagn Res, 2017, 11 (8): RC07-RC10.
[12] 柳栋元, 关海山, 史浩冉, 等. 经皮椎体成形后邻近椎体压缩骨折的危险因素[J]. 中国组织工程研究, 2024, 28(36): 5884-5891.
[13] MAO W, DONG F, HUANG G, et al.Risk factors for secondary fractures to percutaneous vertebroplasty for osteoporotic vertebral compression fractures: a systematic review[J]. J Orthop Surg Res, 2021, 16(1): 644.
[14] HE D, LOU C, YU W, et al.Cement Distribution Patterns Are Associated with Recompression in Cemented Vertebrae After Percutaneous Vertebroplasty: A Retrospective Study[J]. World Neurosurg, 2018, 120: e1-e7.
[15] YANG S, CHEN C, WANG H, et al.A systematic review of unilateral versus bilateral percutaneous vertebroplasty/percutaneous kyphoplasty for osteoporotic vertebral compression fractures[J]. Acta Orthop Traumatol Turc, 2017, 51(4): 290-297.
[16] CHEN YC, ZHANG L, LI EN, et al.Unilateral versus bilateral percutaneous vertebroplasty for osteoporotic vertebral compression fractures in elderly patients: A meta-analysis[J]. Medicine (Baltimore), 2019, 98(8): e14317.
[17] GU Y, HAO K, BAI J, et al.Effect of vertebroplasty with bone cement on osteoporotic compression fractures in elderly patients[J]. Am J Transl Res, 2023, 15 (9): 5921-5929. eCollection 2023.
[18] 曹磊, 张磊, 李克勤, 等. 骨水泥弥散方式对经皮椎体成形术的疗效影响[J]. 中国中医骨伤科杂志, 2023, 31 (12): 53-58+63.
[19] JEONG YH, LEE CJ, YEON JT, et al.Insufficient Penetration of Bone Cement Into the Trabecular Bone: A Potential Risk for Delayed Bone Cement Displacement After Kyphoplasty[J]. Reg Anesth Pain Med, 2016, 41(5): 616-618.
[20] ZHANG ZF, HUANG H, CHEN S, et al.Comparison of high- and low-viscosity cement in the treatment of vertebral compression fractures: A systematic review and meta-analysis[J]. Medicine (Baltimore), 2018, 97(12): e0184.
[21] YU WB, JIANG XB, LIANG D, et al.Risk factors and score for recollapse of the augmented vertebrae after percutaneous vertebroplasty in osteoporotic vertebral compression fractures[J]. Osteoporos Int, 2019, 30(2): 423-430.
[22] YU W, LIANG D, YAO Z, et al.Risk factors for recollapse of the augmented vertebrae after percutaneous vertebroplasty for osteoporotic vertebral fractures with intravertebral vacuum cleft[J]. Medicine (Baltimore), 2017, 96(2): e5675.
[23] DING X, ZHANG Q, ZHAO Y, et al.Location and Effect of Bone Cement in Percutaneous Vertebroplasty for Osteoporotic Vertebral Compression Fractures[J]. Biomed Res Int, 2022, 2022: 6127620.
[24] TAN L, WEN B, GUO Z, et al.The effect of bone cement distribution on the outcome of percutaneous Vertebroplasty: a case cohort study[J]. BMC Musculoskelet Disord, 2020, 21(1): 541.
[25] LIN D, HAO J, LI L, et al.Effect of Bone Cement Volume Fraction on Adjacent Vertebral Fractures After Unilateral Percutaneous Kyphoplasty[J]. Clin Spine Surg, 2017, 30(3): E270-E275.
[26] ZHANG H, XUAN J, CHEN TH, et al.Projection of the Most Anterior Line of the Spinal Canal on Lateral Radiograph: An Anatomic Study for Percutaneous Kyphoplasty and Percutaneous Vertebroplasty[J]. J Invest Surg, 2020, 33(2): 134-140.
[27] JIA P, TANG H, CHEN H, et al.Prophylactic vertebroplasty procedure applied with a resorbable bone cement can decrease the fracture risk of sandwich vertebrae: long-term evaluation of clinical outcomes[J]. Regen Biomater, 2017, 4(1): 47-53.