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  4. Comparison of percutaneous vertebroplasty and conservative treatment for one level thoracolumbar osteoporotic compression fracture in a 3‑year study

Comparison of percutaneous vertebroplasty and conservative treatment for one level thoracolumbar osteoporotic compression fracture in a 3‑year study

Scientific Reports, 2023 · DOI: 10.1038/s41598-023-36905-8 · Published: December 1, 2023

SurgeryOrthopedicsMusculoskeletal Medicine

Simple Explanation

This study compares a new method of percutaneous vertebroplasty (PVP), called mesh-optimized PVP, with the traditional PVP method for treating osteoporotic vertebral compression fractures. The mesh optimization group had improved operation time, fluoroscopy times, bone cement injection volume, and bone cement permeability greater than the standard PVP group. Mesh-optimized PVP with a mesh locator treats osteoporotic vertebral compression fractures more safely and effectively than regular PVP.

Study Duration
3 Years
Participants
196 patients with lumbar osteoporotic compression fractures
Evidence Level
Not specified

Key Findings

  • 1
    Mesh optimization group had improved operation time (34.8 ± 6.5 min) compared to traditional PVP group (42.7 ± 8.2) min.
  • 2
    The times of intraoperative fluoroscopy in the mesh optimization group were lower by 22.4% than in the traditional PVP group.
  • 3
    The penetration incidence of bone cement in the traditional PVP group was about 5.5 times higher than in the mesh optimization group.

Research Summary

The study evaluated mesh-optimized PVP against traditional PVP for osteoporotic vertebral compression fractures, finding the optimized method superior. Mesh-optimized PVP demonstrated shorter operation times, reduced fluoroscopy exposure, and improved bone cement injection. The mesh-optimized PVP showed a lower incidence of bone cement leakage and improved VAS scores compared to the traditional PVP.

Practical Implications

Reduced Surgical Time

Mesh-optimized PVP can decrease operation time, benefiting both patients and surgeons.

Lower Radiation Exposure

The optimized method reduces intraoperative fluoroscopy times, minimizing radiation exposure for patients and medical staff.

Improved Bone Cement Delivery

Mesh optimization facilitates better bone cement distribution, potentially enhancing vertebral body strength and stability.

Study Limitations

  • 1
    Retrospective analysis of data
  • 2
    Single-center study
  • 3
    Specific inclusion and exclusion criteria may limit generalizability

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