The clinical effect of different vertebral body height restoration rates after percutaneous kyphoplasty for osteoporotic vertebral compression fractures.

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  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 100968565 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2474 (Electronic) Linking ISSN: 14712474 NLM ISO Abbreviation: BMC Musculoskelet Disord Subsets: MEDLINE
    • Publication Information:
      Original Publication: London : BioMed Central, [2000-
    • Subject Terms:
      Kyphoplasty*/methods ; Fractures, Compression*/surgery ; Fractures, Compression*/diagnostic imaging ; Spinal Fractures*/surgery ; Spinal Fractures*/diagnostic imaging ; Osteoporotic Fractures*/surgery ; Osteoporotic Fractures*/diagnostic imaging; Humans ; Female ; Aged ; Male ; Middle Aged ; Treatment Outcome ; Aged, 80 and over ; Vertebral Body/surgery ; Vertebral Body/diagnostic imaging ; Quality of Life ; Retrospective Studies ; Follow-Up Studies
    • Abstract:
      Objective: This study aimed to evaluate the clinical effect of different vertebral body heights restoration rate after percutaneous kyphoplasty (PKP) for the treatment of osteoporotic vertebral compression fractures (OVCF).
      Methods: The patients were divided into two groups according to the height restoration rate of the anterior edge of the vertebral body fracture after PKP operation using X-Ray imaging. The group A was below 80%, and the group B was above 80%. Clinical preoperative and postoperative efficacy (1st day, 1st month, 6th month, and 12th month after surgery) were evaluated according to VAS, Oswestry Disability Index(ODI), Quality of Life Questionnaire of the European Foundation for Osteoporosis(QUALEFFO), and Back Pain Life Disorder Questionnaire(RQD). Simultaneously, the preoperative and postoperative local Cobb angles and changes in the injured vertebrae in the two groups were calculated and analyzed.
      Results: The postoperative Cobb angle in group A was significantly higher than that in group B. The correction rate in group B was significantly better than that in group A. The VAS, ODI, QUALEFFO, and RQD scores of group B patients were significantly lower than those of patients in group A at each follow-up time point. The correlation coefficients of vertebral body height restoration rate and VAS, ODI, QUALEFFO, and RQD scores at the last follow-up were - 0.607 (P < 0.01), -0.625 (P < 0.01), -0.696 (P < 0.01), and - 0.662 (P < 0.01), respectively.
      Conclusions: The results of the correlation analysis between the vertebral body height restoration rate and the above clinical efficacy scores show that increasing the vertebral body anterior height restoration rate is beneficial for pain relief and improves the clinical efficacy of patients. Simultaneously, improving the height restoration rate of the anterior edge of the vertebral body and restoring the normal spinal structure is beneficial for reducing the incidence of refracture of the adjacent vertebral body.
      (© 2024. The Author(s).)
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    • Contributed Indexing:
      Keywords: Clinical efficacy; Osteoporotic vertebral compression fracture; Percutaneous kyphoplasty; Vertebral height restoration rate
    • Publication Date:
      Date Created: 20240905 Date Completed: 20240906 Latest Revision: 20240910
    • Publication Date:
      20250114
    • Accession Number:
      PMC11376014
    • Accession Number:
      10.1186/s12891-024-07773-8
    • Accession Number:
      39237984