osteoporotic vertebral compression fracture
Conditions
Interventions
A group:Only percutaneous kyphoplasty
B group:Percutaneous cement-augmented screw fixation plus percutaneous kyphoplasty
Sponsors
Department of Spinal Surgery, Lianyungang First People's Hospital
Eligibility
Sex/Gender
All
Age
53 Years to 79 Years
Inclusion criteria
Inclusion criteria: (1) Examination confirmed the diagnosis of OVCF of the thoracolumbar spine, and preoperative X-ray, CT, and MRI showed that the degree of wedge compression of the injured vertebral body was greater than 50%, with varying degrees of posterior convexity deformity and posterior convexity Cobb angle greater than 20 degrees. (2) the patient met WHO diagnostic criteria for osteoporosis, with a thoracolumbar vertebral bone density T value less than -2.5 SD; (3) old and unstable vertebral fractures, with passage of >2 weeks from fracture to surgery; (4) a VAS score of >7
Exclusion criteria
Exclusion criteria: (1) Imaging suggested multi-segmental thoracolumbar fractures or symptoms not compatible with physical examinations. (3) Stable thoracolumbar fractures, or compression of the upper thoracic spine exceeding 50% and the lumbar spine exceeding 75%, preventing PKP. (4) Other factors affecting surgery and follow-up.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The visual analogue scale (VAS);Positive and lateral X-ray images of the lumbar spine were obtained 3 days after surgery and at the last follow-up visit;ODI scores;JOA scores;Spine Cobb Angle; | — |
Secondary
| Measure | Time frame |
|---|---|
| The operative duration; intraoperative bleeding; | — |
Countries
China
Contacts
Public ContactRujie Qin
Lianyungang First People's Hospital
Outcome results
None listed