Geriatric osteoporotic thoracolumbar vertebral fractures
Conditions
Interventions
Exposure group: Net technique:None
Non-exposure group: PKP technique:None
Sponsors
Shanghai First People's Hospital, South Branch - Trauma Center
Eligibility
Sex/Gender
All
Age
60 Years to No maximum
Inclusion criteria
Inclusion criteria: 1.Age > 60 years, with radiographic evidence (X-ray, CT, and MRI) of a significant compressive or burst fracture (T10-L2), loss of >50% of vertebral body height in the mid or anterior portion, and at least one intact pedicle in the injured vertebra. 2.Bone mineral density (BMD) T-score < -2.5 SD, as measured by dual-energy X-ray absorptiometry (DXA) at the hip or other vertebral bodies. 3.Presence of significant thoracolumbar pain, but without symptoms of nerve root compression. 4.Scheduled to undergo either percutaneous kyphoplasty (PKP) or the bone cement filling mesh bag technique as per the clinical treatment plan. 5.Provision of signed informed consent.
Exclusion criteria
Exclusion criteria: 1.Age -2.5 SD, as measured by dual-energy X-ray absorptiometry (DXA) at the hip or other vertebral bodies. 4.Spinal canal encroachment > 20%, presence of severe neurological symptoms requiring surgical decompression. 5.Multiple comorbidities rendering the patient unfit to tolerate the surgical procedure.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| the degree of improvement in the leakage;Vertebral height restoration rate;ODI score; | — |
Secondary
| Measure | Time frame |
|---|---|
| VAS score; | — |
Countries
China
Contacts
Public ContactWang An
Shanghai First People's Hospital, South Branch - Trauma Center
Outcome results
None listed