Osteoporotic compression fractures
Conditions
Interventions
Percutaneous kyphoplasty ultrasound group:The puncture was performed under ultrasound guidance
Normal group of percutaneous kyphoplasty:No intervention
Percutaneous vertebroplasty ultrasound group:The puncture was performed under ultrasound guidance
Normal group of percutaneous vertebroplasty:No intervention
Transforaminal endoscopic puncture and ultrasound-guided observation group:The puncture was performed under ultrasound guidance
The control group was guided by transforaminal endoscopic puncture and ultrasound:No intervention
Sponsors
The Second Affiliated Hospital of Hunan University of Traditional Chinese Medicine
Eligibility
Sex/Gender
All
Age
55 Years to 85 Years
Inclusion criteria
Inclusion criteria: Inclusion criteria of PKP group: (1) age 55-85 years old; (2) T value of bone mineral density < -2.5 SD. (3) any single vertebral compression fracture of T10-L5 confirmed by imaging. (4) Non-other pathological fractures. (5) The injured lumbar spine had obvious kyphosis. (6) can tolerate surgical treatment and cooperate with follow-up. A total of 40 patients were enrolled and randomly divided into ultrasound group and C-arm X-ray group, with 20 patients in each group. PVP group inclusion criteria: (1) age 55-85 years old; (2) T value of bone mineral density < -2.5 SD. (3) any single vertebral compression fracture of T10-L5 confirmed by imaging. (4) Non-other pathological fractures. (5) can tolerate surgical treatment and cooperate with follow-up. A total of 40 patients were enrolled and randomly divided into ultrasound group and C-arm X-ray group, with 20 patients in each group. The inclusion criteria of the transforaminal endoscopic group were as follows: age 55-85 years old; The patient had clinical symptoms of lumbar disc herniation and was diagnosed by imaging examination. Surgical treatment was needed if conservative treatment failed for 2 months. Single segment, unilateral lumbar disc herniation; Patients and their families were informed and agreed to participate in the study. A total of 40 patients were enrolled and randomly divided into ultrasound group and C-arm X-ray group, with 20 patients in each group.
Exclusion criteria
Exclusion criteria: Exclusion criteria of PKP group: (1) patients could not tolerate surgical treatment; (2) The fracture was burst fracture with occupying bone in the spinal canal or spinal cord nerve injury. (3) The fracture was pathological and the skin condition at the surgical site was poor. (4) PVP was selected when the injured vertebrae had obvious kyphosis. Exclusion criteria of PVP group: (1) unable to tolerate surgical treatment; (2) The fracture was burst fracture with occupying bone in the spinal canal or spinal cord nerve injury. (3) The fracture was pathological and the skin condition at the surgical site was poor. Exclusion criteria of the transforaminal endoscopic group: previous history of surgery that caused spinal structure defects; Combined with multi-segmental disc herniation; Lumbar segmental instability; Combined with lumbar spinal stenosis; There were surgical contraindications.
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| Visual analogue scale;Oswestry disability index;Japanese Orthopaedic Association Scores; | — |
Primary
| Measure | Time frame |
|---|---|
| Time of puncture;Bone cement perfusion volume;Duration of local anesthesia;Pedicle positioning time;Total operative time;Intraoperative fluoroscopy times; | — |
Countries
China
Contacts
Public ContactJINGQI ZENG
The Second Affiliated Hospital of Hunan University of Traditional Chinese Medicine
Outcome results
None listed