Application of improved injecting tube in percutaneous kyphoplasty through unipedicular puncturing_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

 YANGDeshun , LEIBingjun , LIAOLiang , WANGKaiming , ZHANGQing , YANGZhiyong

Department of Orthopedics, the Third People’ s Hospital of Bengbu, Bengbu Anhui, 233000, P.R.China;

Corresponding?author：

YANGDeshun, Email: yangdeshun1974@126.com

Keywords：

Bone cement; percutaneous kyphoplasty; osteoporotic vertebral compression fracture; improved injecting tube

DOI：

10.7507/1002-1892.201610022

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To research the feasibility and effectiveness of percutaneous kyphoplasty (PKP) by improved injecting tube through unipedicular puncturing. Methods Between January 2012 and Junuary 2016, 60 cases (68 vertebrae) of osteoporotic vertebral compression fractures (OVCF) were treated. PKP was performed through unipedicular puncturing with routine injecting tube in 30 cases (34 vertebrae, routine group), and with improved injecting tube in 30 cases (34 vertebrae, improved group). There was no significant difference in age, gender, disease duration, fracture level, preoperative visual analogue scale (VAS), or vertebral height between 2 groups (P>0.05). The operation time, the volume of bone cement injected, preoperative and postoperative VAS, and preoperative and postoperative vertebral height, and postoperative distribution coefficient of bone cement were recorded and compared between 2 groups. Results Good healing of puncture points was achieved in 2 groups after PKP, and no serious complication occurred. There was no significant difference in operation time and the volum of bone cement injected between 2 groups (t=0.851,P=0.399;t=1.672,P=0.101). Bone cement leakage was observed in 2 cases of 2 groups respectively. The distribution coefficient of bone cement in routine group was significantly less than that in improved group (t=13.049,P=0.000). All patients were followed up 12-36 months (mean, 19 months). The postoperative VAS and vertebral height were significantly improved when compared with preoperative ones in 2 groups (P<0.05), but there was no significant difference in VAS between at 2 days after operation and at last follow-up, in vertebral height between at 2 days after operation and at 1 year after operation, and between 2 groups after operation (P>0.05). X-ray films showed vertebral compression fractures in 6 cases of routine group and in 1 case of improved group during follow-up. Conclusion PKP by improved injecting tube through unipedicular puncturing can improve the distribution of bone cement, restore the height and strength of vertebral body, and reduce the incidence of re-fracture.

Citation： YANGDeshun, LEIBinjun, LIAOLiang, WANGKaiming, ZHANGQin, YANGZhiyong. Application of improved injecting tube in percutaneous kyphoplasty through unipedicular puncturing. Chinese Journal of Reparative and Reconstructive Surgery, 2017, 31(2): 197-202. doi: 10.7507/1002-1892.201610022 Copy

1.	余偉波, 梁德, 江小兵, 等. 經皮椎體成形術和經皮椎體后凸成形術治療伴椎體內真空裂隙的骨質疏松椎體壓縮骨折的比較研究. 中國修復重建外科雜志, 2016, 30(9): 1104-1110.
2.	潘愛星, 楊晉才, 海涌, 等. 單側與雙側穿刺經皮椎體后凸成形術治療骨質疏松性椎體壓縮骨折的對比研究. 中國骨與關節雜志, 2016, 5(1): 44-47.
3.	He D, Wu L, Sheng X, et al. Internal fixation with percutaneous kyphoplasty compared with simple percutaneous kyphoplasty for thoracolumbar burst fractures in elderly patients: a prospective randomized controlled trial. Eur Spine J, 2013, 22(10): 2256-2263.
4.	Lieberman IH, Dudeney S, Reinhardt MK, et al. Initial outcome and efficacy of “kyphoplasty” in the treatment of painful osteoporotic vertebral compression fractures. Spine, 2001, 26(14): 1631-1638.
5.	徐耀寧, 鄭秋堅, 尹東, 等. 經皮椎體后凸成形術治療陳舊性骨質疏松椎體壓縮性骨折的療效研究. 中華創傷骨科雜志, 2014, 16(9): 770-775.
6.	Liebschner MA, Rosenberg WS, Keaveny TM. Effects of bone cement volume and distribution on vertebral stiffness after vertebroplasty. Spine (Phila Pa 1976), 2001, 26(14): 1547-1554.
7.	Rousing R, Andersen MO, Jespersen SM, et al. Percutaneous veterbroplasty compared to conservative treatment in patients with painful acute or subacute osteoporotic vertebral fractures: three-month follow-up in a clinical randomized study. Spine, 2009, 34(13): 1348-1354.
8.	Li D, Wu Y, Huang Y, et al. Risk factors of recompression of cemented vertebrae after kyphoplasty for osteoporotic vertebral compression fractures. Int Orthop, 2016, 40(6): 1285-1290.
9.	Niu J, Zhou H, Meng Q, et al. Factors affecting recompression of augmented vertebrae after successful percutaneous ballon kyphoplasty: a retrospective analysis. Acta Radiologica, 2015, 56(11): 1380-1387.
10.	印飛, 孫振中, 宋升, 等. 單雙側經皮椎體后凸成形術治療中位胸椎骨質疏松性壓縮骨折對比研究. 中國修復重建外科雜志, 2016, 30(1): 77-81.
11.	鐘遠鳴, 蘇之盟, 覃海飚, 等. 椎體成形術骨水泥彌散情況對再發骨折的影響. 重慶醫學, 2016, 45(6): 752-759.
12.	陳柏齡, 謝登輝, 黎藝強, 等. 單側PKP骨水泥注射過中線分布對壓縮性骨折椎體兩側剛度的影響. 中國脊柱脊髓雜志, 2011, 21(2): 118-121.
13.	Mroz TE, Yamashita T, Davros WJ, et al. Radiation exposure to the surgeon and the patient during kyphoplasty. J Spinal Disord Tech, 2008, 21(2): 96-100.
14.	李玉偉, 嚴曉云, 王海蛟, 等. 應用高黏度骨水泥單側穿刺經皮椎體成形術治療新鮮椎體骨折. 中國修復重建外科雜志, 2015, 29(7): 845-848.
15.	賀寶榮, 許正偉, 郝定均, 等. 骨水泥在骨質疏松性骨折椎體內分布狀態與生物力學性能的關系. 中華骨科雜志, 2012, 32(8): 768-773.
16.	李健, 吳溢峰, 楊波, 等. 雙側雙平面與單側經椎弓根椎體成形術療效比較. 中國矯形外科雜志, 2011, 19(2): 91-95.
17.	王想福, 范有福, 石瑞芳, 等. 單側穿刺椎體后凸成形術骨水泥分布與穿刺角度的關系. 中國骨傷, 2015, 28(8): 704-707.
18.	金志輝, 張貴林. 單雙側椎體后凸成形術治療骨質疏松性胸腰椎壓縮骨折的療效分析. 中國骨與關節損傷雜志, 2015, 30(1): 35-38.
19.	Georgy BA. Comparison between radiofrequency targeted vertebral augmentation and ballon kyphoplasty in the treatment of vertebral compression fractures: addressing factors that affect cement extravasation and distribution. Pain Physician, 2013, 16(5): E513-518.
20.	晏雄偉, 張洪燕. 椎體后凸成形治療骨質疏松性脊柱骨折: 注入骨水泥的要點. 中國組織工程研究, 2014, 18(9): 1471-1476.

1. 余偉波, 梁德, 江小兵, 等. 經皮椎體成形術和經皮椎體后凸成形術治療伴椎體內真空裂隙的骨質疏松椎體壓縮骨折的比較研究. 中國修復重建外科雜志, 2016, 30(9): 1104-1110.
2. 潘愛星, 楊晉才, 海涌, 等. 單側與雙側穿刺經皮椎體后凸成形術治療骨質疏松性椎體壓縮骨折的對比研究. 中國骨與關節雜志, 2016, 5(1): 44-47.
3. He D, Wu L, Sheng X, et al. Internal fixation with percutaneous kyphoplasty compared with simple percutaneous kyphoplasty for thoracolumbar burst fractures in elderly patients: a prospective randomized controlled trial. Eur Spine J, 2013, 22(10): 2256-2263.
4. Lieberman IH, Dudeney S, Reinhardt MK, et al. Initial outcome and efficacy of “kyphoplasty” in the treatment of painful osteoporotic vertebral compression fractures. Spine, 2001, 26(14): 1631-1638.
5. 徐耀寧, 鄭秋堅, 尹東, 等. 經皮椎體后凸成形術治療陳舊性骨質疏松椎體壓縮性骨折的療效研究. 中華創傷骨科雜志, 2014, 16(9): 770-775.
6. Liebschner MA, Rosenberg WS, Keaveny TM. Effects of bone cement volume and distribution on vertebral stiffness after vertebroplasty. Spine (Phila Pa 1976), 2001, 26(14): 1547-1554.
7. Rousing R, Andersen MO, Jespersen SM, et al. Percutaneous veterbroplasty compared to conservative treatment in patients with painful acute or subacute osteoporotic vertebral fractures: three-month follow-up in a clinical randomized study. Spine, 2009, 34(13): 1348-1354.
8. Li D, Wu Y, Huang Y, et al. Risk factors of recompression of cemented vertebrae after kyphoplasty for osteoporotic vertebral compression fractures. Int Orthop, 2016, 40(6): 1285-1290.
9. Niu J, Zhou H, Meng Q, et al. Factors affecting recompression of augmented vertebrae after successful percutaneous ballon kyphoplasty: a retrospective analysis. Acta Radiologica, 2015, 56(11): 1380-1387.
10. 印飛, 孫振中, 宋升, 等. 單雙側經皮椎體后凸成形術治療中位胸椎骨質疏松性壓縮骨折對比研究. 中國修復重建外科雜志, 2016, 30(1): 77-81.
11. 鐘遠鳴, 蘇之盟, 覃海飚, 等. 椎體成形術骨水泥彌散情況對再發骨折的影響. 重慶醫學, 2016, 45(6): 752-759.
12. 陳柏齡, 謝登輝, 黎藝強, 等. 單側PKP骨水泥注射過中線分布對壓縮性骨折椎體兩側剛度的影響. 中國脊柱脊髓雜志, 2011, 21(2): 118-121.
13. Mroz TE, Yamashita T, Davros WJ, et al. Radiation exposure to the surgeon and the patient during kyphoplasty. J Spinal Disord Tech, 2008, 21(2): 96-100.
14. 李玉偉, 嚴曉云, 王海蛟, 等. 應用高黏度骨水泥單側穿刺經皮椎體成形術治療新鮮椎體骨折. 中國修復重建外科雜志, 2015, 29(7): 845-848.
15. 賀寶榮, 許正偉, 郝定均, 等. 骨水泥在骨質疏松性骨折椎體內分布狀態與生物力學性能的關系. 中華骨科雜志, 2012, 32(8): 768-773.
16. 李健, 吳溢峰, 楊波, 等. 雙側雙平面與單側經椎弓根椎體成形術療效比較. 中國矯形外科雜志, 2011, 19(2): 91-95.
17. 王想福, 范有福, 石瑞芳, 等. 單側穿刺椎體后凸成形術骨水泥分布與穿刺角度的關系. 中國骨傷, 2015, 28(8): 704-707.
18. 金志輝, 張貴林. 單雙側椎體后凸成形術治療骨質疏松性胸腰椎壓縮骨折的療效分析. 中國骨與關節損傷雜志, 2015, 30(1): 35-38.
19. Georgy BA. Comparison between radiofrequency targeted vertebral augmentation and ballon kyphoplasty in the treatment of vertebral compression fractures: addressing factors that affect cement extravasation and distribution. Pain Physician, 2013, 16(5): E513-518.
20. 晏雄偉, 張洪燕. 椎體后凸成形治療骨質疏松性脊柱骨折: 注入骨水泥的要點. 中國組織工程研究, 2014, 18(9): 1471-1476.

Chinese Journal of Reparative and Reconstructive Surgery

Application of improved injecting tube in percutaneous kyphoplasty through unipedicular puncturing

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content