A comparison of high viscosity bone cement and low viscosity bone cement vertebroplasty for severe osteoporotic vertebral compression fractures
A comparison of high viscosity bone cement and low viscosity bone cement vertebroplasty for severe osteoporotic vertebral compression fractures
复制标题
DOI：
10.1016/j.clineuro.2014.11.018
复制
发表时间：
2015-02-01
影响因子：
1.9
通讯作者：
Huang, Jijun
中科院分区：
文献类型：
--
作者：
Zhang, Liang;Wang, Jingcheng;Huang, Jijun
目的：方法：将2010年12月至2012年12月收治的32例重度OVCF患者随机分为高粘度骨水泥组（H组，n = 14）和低粘度骨水泥组（L组，n = 18）。通过视觉模拟量表（VAS）、奥斯韦斯特里功能障碍指数（ODI）、简明健康调查量表（SF-36）、脊柱后凸Cobb角、椎体高度和并发症评估临床结局。两组的VAS、ODI、SF-36评分、脊柱后凸Cobb角和椎体高度均显著改善，两组间差异无统计学意义。H组骨水泥渗漏较少。术后CT评估发现H组17个椎体中有5个（29.4%）发生骨水泥渗漏，L组22个椎体中有15个（68.2%）发生骨水泥渗漏（P = 0.025）。(C)2014由Elsevier B. V.出版
Objective: To compare the clinical outcome and complications of high viscosity and low viscosity polymethyl methacrylate bone cement PVP for severe OVCFs.Methods: From December 2010 to December 2012,32 patients with severe OVCFs were randomly assigned to either group H using high viscosity cement (n = 14) or group L using low viscosity cement (n = 18). The clinical outcomes were assessed by the Visual Analog Scale (VAS), Oswestry Disability Index (ODI), Short Form-36 General Health Survey (SF-36), kyphosis Cobb's angle, vertebral height, and complications.Results: Significant improvement in the VAS, ODI, SF-36 scores, kyphosis Cobb's angle, and vertebral height were noted in both the groups, and there were no significant differences between the two groups. Cement leakage was seen less in group H. Postoperative assessment using computed tomography identified cement leakage in 5 of 17 (29.4%) vertebrae in group H and in 15 of 22 (68.2%) vertebrae in group L (P = 0.025).Conclusions: The PVP using high viscosity bone cement can provide the same clinical outcome and fewer complications compared with PVP using low viscosity bone cement. (C) 2014 Published by Elsevier B.V.