个体化单侧椎弓根外与双侧椎弓根PVP治疗老年OVCF的效果对比OA

Objective:To compare the effects of individualized unilateral pedicle external percutaneous vertebroplasty(PVP)and bilateral pedicle PVP in the treatment of osteoporotic vertebral compression fractures(OVCF)in the elderly.Method:A total of 100 elderly patients with OVCF who visited Jingdezhen Traditional Chinese Medicine Hospital from January 2024 to February 2025 were selected and divided into two groups according to the random number table method,with 50 cases in each group.The control group selected the bilateral pedicle PVP surgical method,while the experimental group selected the individualized unilateral pedicle external PVP surgical method.The VAS score,Oswestry disability index(ODI),and the percentage of anterior height of the injured vertebrae before the operation and 3 days,1 month,and 3 months after the operation of the two groups were compared.The operation time,the number of intraoperative fluoroscopy,and the incidence of complications of the two groups were also statistically analyzed.Result:At 3 days,1 month and 3 months after the operation,there were no statistically significant differences in the VAS scores,ODI and the percentage of anterior height of the injured vertebrae between the two groups(P>0.05).There was a statistically significant difference in the time effect of VAS score,ODI and the percentage of anterior height of the injured vertebrae between the two groups(P<0.05),but there were no statistically significant differences in the intergroup effect and the interaction between groups and time(P>0.05).The operation time of the experimental group was shorter than that of the control group,the bone cement leakage rate was lower than that of the control group,and the number of fluoroscopy was less than that of the control group(P<0.05).There was no statistically significant difference in the postoperative infection rate between the two groups(P>0.05).Conclusion:The effect of individualized unilateral pedicle external PVP in the treatment of elderly OVCF is comparable to that of bilateral pedicle PVP,and it has the advantages of shorter operation time and fewer fluoroscopy times,which can reduce surgical risks.