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Clinical significance of modified unilateral puncture percutaneous vertebroplasty guided by 3D- printed guides in the treatment of osteoporotic vertebral compression fractures: a retrospective study

Authors :
Tao Gao
Sheng-Yu Wan
Zhi-Yu Chen
Tao Li
Xu Lin
Hai-Gang Hu
Jian-Dong Tang
Chao Wu
Source :
BMC Musculoskeletal Disorders, Vol 25, Iss 1, Pp 1-10 (2024)
Publication Year :
2024
Publisher :
BMC, 2024.

Abstract

Abstract Objective To investigate the clinical significance of using 3D printing guides in modified unilateral puncture percutaneous vertebroplasty (PVP) for the treatment of osteoporotic vertebral compression fractures (OVCF), and to explore a new method for preventing paravertebral vein leakage during PVP in conjunction with a previous study of the optimal puncture-side bone cement/vertebral volume ratio(PSBCV/VV%). Methods This retrospective study analyzed 99 patients who underwent unilateral puncture PVP between January 2023 and December 2023. Patients were divided into a guide plate group (46 patients) and a conventional group (53 patients). The guide plate group underwent modified unilateral puncture PVP with the guidance of 3D printing guides, while the conventional group underwent unilateral puncture PVP using the conventional pedicle approach. The distribution of bone cement, surgical outcomes, and the occurrence of cement leakage into paravertebral veins were observed in both groups. Results The guide plate group had significantly shorter operating time and required fewer fluoroscopies compared to the conventional group. The amount of bone cement volume (BCV) used in the guide plate group was higher, but the amount of bone cement volume on the puncture side(PSBCV), the PSBCV/VV%, and the rate of paravertebral vein leakage were lower in the guide plate group compared to the conventional group (P

Details

Language :
English
ISSN :
14712474
Volume :
25
Issue :
1
Database :
Directory of Open Access Journals
Journal :
BMC Musculoskeletal Disorders
Publication Type :
Academic Journal
Accession number :
edsdoj.53b650ae09914d5587e228e01ea9ae73
Document Type :
article
Full Text :
https://doi.org/10.1186/s12891-024-07750-1