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Efficacy of Percutaneous Kyphoplasty and Percutaneous Pedicle Screw Fixation in Managing Osteoporotic Vertebral Compression Fractures in Middle-Aged and Elderly Individuals: A Comparative Study.
Ann Ital Chir
December 2024
Department of Orthopedics, Suzhou Hospital of Integrated Traditional Chinese and Western Medicine, 215000 Suzhou, Jiangsu, China.
Aim: This study is aims to compare the clinical efficacy and safety of percutaneous kyphoplasty (PKP) and percutaneous pedicle screw fixation (PPSF) in managing osteoporotic vertebral compression fractures (OVCFs) among middle-aged and elderly individuals.
Methods: A total of 142 patients aged 55-65 years were selected retrospectively from the Department of Orthopedics of our hospital from June 2021 to June 2023 and classified into PKP (n = 68) and PPSF (n = 74) groups. General data of patients were collected, and related perioperative indicators, Visual Analog Scale (VAS) scores, Oswestry Disability Index (ODI), Activities of Daily Living (ADL) scores, changes in Cobb angle of the fractured vertebrae, vertebral compression rate, as well as postoperative complications were compared between the two groups.
Development of a clinical predictive model for cement loosening after vertebral augmentation in osteoporotic vertebral compression fractures.
BMC Musculoskelet Disord
December 2024
Department of Orthopedics, Panyu Hospital of Chinese Medicine, Guangzhou, Guangdong, China.
Purpose: This study aims to identify the risk factors associated with bone cement loosening after percutaneous vertebroplasty/kyphoplasty (PVP/PKP) for osteoporotic vertebral compression fractures (OVCF) and to develop a clinical prediction model for bone cement loosening.
Methods: Clinical data of patients who underwent PVP/PKP for OVCF at Guangzhou Panyu Hospital from June 2017 to June 2021 were collected, with a division into loosening group and normal group based on postoperative follow-up imaging. Univariate analysis was conducted to explore the correlation between clinical data and bone cement loosening.
Is Percutaneous Kyphoplasty the Better Choice for Treatment of Stage III Kümmell's Disease Without Neurological Symptoms? A Retrospective Study of Two Invasive Procedures.
Orthop Surg
December 2024
Department of Orthopaedic Surgery, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Article Synopsis
- The study investigates the effectiveness of two surgical treatments for Stage III Kümmell's disease without neurological deficits: percutaneous kyphoplasty (PKP) and pedicle subtraction osteotomy (PSO) combined with long-segment fixation (LSF).
- A total of 89 patients were treated, with results showing that the PKP group had quicker recovery metrics and lower disability scores post-surgery, while the PSO+LSF group achieved better spinal alignment corrections.
- Ultimately, both procedures were effective with similar complication rates, suggesting personalized treatment plans based on patient's condition and surgeon’s expertise are crucial.
Cardiac cement embolism and asymptomatic pulmonary embolism caused by percutaneous vertebroplasty for osteoporotic vertebral fracture: a case report.
Front Surg
November 2024
Department of Orthopaedics, The First Affiliated Hospital of Yangtze University, Jingzhou, China.
Background: As society ages, the incidence of osteoporotic vertebral compression fractures steadily rises. Procedures like percutaneous kyphoplasty (PKP) and percutaneous vertebroplasty (PVP) have proven effective in significantly relieving pain in patients with these fractures. While PKP and PVP are minimally invasive, complications can still occur.
View Article and Find Full Text PDFEvaluation of predictive performance for new vertebral compression fracture between Hounsfield units value and vertebral bone quality score following percutaneous vertebroplasty or kyphoplasty.
Acad Radiol
December 2024
Department of Orthopedics, the First Affiliated Hospital with Nanjing Medical University, Nanjing 210029, Jiangsu, People's Republic of China (Z.W., L.L., T.Z., R.L., W.R., H.Z., Z.T., Y.R.). Electronic address:
Rationale And Objectives: New vertebral compression fractures (NVCF) are very common in patients following percutaneous vertebroplasty (PVP) or kyphoplasty (PKP). The study aims to evaluate the comparative predictive performance of vertebral bone quality (VBQ) score and Hounsfield units (HU) value in forecasting NVCF after surgery.
Materials And Methods: This study retrospectively analyzed patients who underwent PVP/PKP at our institution between 2020 and 2021.
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