• Original article (Clinical research) • Previous Articles     Next Articles

Ability of geometry deformity correction of different surgical procedures for middle-aged and old women with osteoporotic vertebral compression fractures

ZHOU Ze-zhu1,2, CHEN Zhe1,2*, ZHENG Yue-huan3, LIANG Yu1,2, ZHANG Xing-kai1,2, WU Wen-jian1,2, ZHUANG Cheng-yu1, CAO Peng1,2   

  1. 1.Department of Orthopedics, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China; 2.Shanghai Key Laboratory for Prevention and Treatment of Bone and Joint Diseases with Integrated Chinese-Western Medicine, Shanghai Institute of Traumatology and Orthopedics, Shanghai 200025, China; 3.Department of Orthopedics, Ruijin Hospital North, Shanghai Jiao Tong University School of Medicine, Shanghai 201801, China
  • Online:2015-03-28 Published:2015-03-26
  • Supported by:

    Outstanding Academic Leaders' Training Program of Shanghai Municipal Commission of Health and Family Planning, XBR2011024; International Science and Technology Cooperation Project of Science and Technology Commission of Shanghai Municipality, 13430722100

PDF (PC)

1266

Abstract:

Objective To compare the ability of geometry deformity correction of percutaneous vertebroplasty (PVP) and percutaneous kyphoplasty (PKP) for middle-aged and old women with osteoporotic vertebral compression fractures (OVCF) and explore the correlation between the complete correction of geometry deformity and the relief of clinical symptoms. Methods A total of 99 middle-aged and old women with OVCF who underwent PVP or PKP were selected and divided into the PVP group (n=56) and PKP group (n=43) according to the surgical procedure. McCloskey-Black quantitative judgment of percutaneous morphometric shape was adopted to measure the height of compressed vertebra before and after surgery. The geometric types of vertebrae were classified into the morphometric normal shape and morphometric compressed shape. The variations of morphometric shapes of compressed vertebrae and the ability of geometry deformity correction of two surgical procedures were compared. The correlation between the complete correction of geometry deformity and the relief of clinical symptoms was compared by the visual analogue scale (VAS). Results A total of 22 patients acquired complete morphometric correction after surgery and the overall correction rate was 22.22%. The correction rate of the PKP group (34.15%) was higher than that of the PVP group (14.81%) and the difference was statistically significant (P<0.05). The VAS scores of patients after surgery were significantly lower than those before surgery (P<0.05). The VAS scores of patients with complete and incomplete morphometric correction after surgery were 2.31±0.93 and 2.60±0.92, respectively. The difference was statistically insignificant (P>0.05). Conclusion Both minimally invasive PKP and PVP can significantly correct the morphometric deformity of compressed vertebrae. The ability of geometry deformity correction of PKP is better than PVP. There is no clear correlation between the complete correction of geometry deformity and the relief of clinical symptoms.

Key words: vertebral compressed, fractured morphometric shape, percutaneous vertebraplasty, percutaneous kyphoplasty