1. Enhanced bone cement distribution in percutaneous vertebroplasty using a curved guide wire: a propensity score matching analysis
- Author
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Xuyan Hu, Zijin Zhang, Yisong Yang, Gang Zhang, Shen Cao, Bing Yu, and Yubing Zhang
- Subjects
Curved guide wire ,Percutaneous vertebroplasty ,Osteoporotic vertebral compression fractures ,Pain relief ,Functional recovery ,Bone cement distribution ,Diseases of the musculoskeletal system ,RC925-935 - Abstract
Abstract Background Osteoporotic vertebral compression fractures (OVCF) severely affect the quality of life in the aged population. Percutaneous vertebroplasty (PVP) alleviates pain and stabilizes vertebrae, but suboptimal bone cement distribution can cause complications. Hence, this study aimed to clarify whether a new technique for PVP, using a curved guide wire, enhances the distribution of bone cement and improves clinical outcomes in patients with OVCF. Methods Patients with single-segment OVCF underwent PVP or curved guide wire percutaneous vertebroplasty (C-PVP). Propensity score matching (PSM) was employed to balanced the baseline characteristics. The primary outcomes were the visual analog scale (VAS) and Oswestry disability index (ODI) scores. The secondary outcomes included assessments of bone cement distribution, bone cement injection volume, radiological parameters, and general clinical results. Additionally, Complications and adverse events were documented. Results After PSM analysis, each group comprised 54 patients, which significantly reduced baseline differences. The C-PVP group showed better clinical outcomes compared to the traditional PVP group. One month after surgery, the C-PVP group had significantly lower VAS and ODI scores (p
- Published
- 2024
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