Application of unilateral multiple channels approach in percutaneous vertebroplasty for osteoporotic vertebral fractures

H. Wei; X. Ma

doi:10.14715/cmb/2017.63.10.11

Issue

Vol. 63 No. 10: Issue 10

Issue Published : November 1, 2017

The undersigned hereby assign all rights, included but not limited to copyright, for this manuscript to CMB Association upon its submission for consideration to publication on Cellular and Molecular Biology. The rights assigned include, but are not limited to, the sole and exclusive rights to license, sell, subsequently assign, derive, distribute, display and reproduce this manuscript, in whole or in part, in any format, electronic or otherwise, including those in existence at the time this agreement was signed. The authors hereby warrant that they have not granted or assigned, and shall not grant or assign, the aforementioned rights to any other person, firm, organization, or other entity. All rights are automatically restored to authors if this manuscript is not accepted for publication.

Application of unilateral multiple channels approach in percutaneous vertebroplasty for osteoporotic vertebral fractures

https://doi.org/10.14715/cmb/2017.63.10.11

H. Wei

Department of Spinal surgery, China-Japan Friendship Hospital, Beijing, China

X. Ma

Department of Traditional Chinese Medicine (TCM) Rheumatism, China-Japan Friendship Hospital, Beijing, China

Corresponding Author(s) : X. Ma

mx3481@163.com

Cellular and Molecular Biology, Vol. 63 No. 10: Issue 10
Article Published : October 31, 2017

Abstract

This study aimed to investigate the application valuable of percutaneous vertebroplasty (PVP) with unilateral multiple channels approach in osteoporotic vertebral fractures patients. A retrospective review was conducted on 685 consecutive patients with osteoporotic vertebral fracture from March 2003 to October 2012. Among them, 82 cases were given PVP procedure by unilateral multiple channels approach. The timing of surgery, bone cements injection, and complications were analyzed. By using the X-ray film, the distribution of cement was detected and scored. The visual analogue scale (VAS) score and Oswestry disability index (ODI) system were used to evaluate the pain relief and improvement of daily activity function after operation. The excellent and good rate of cement distribution was 98.8% (98/99). Before surgery, the VAS score was 2.5±0.43. After surgery, the VAS score was significantly decreased to 2.0±0.33 at 1 h. Before surgery, ODI was 40.94±2.72. ODI was significantly decreased at 1 month after surgery (9.64±2.60) and at the final follow-up (7.77±2.15). No spine or nerve injury, bone cement leakage, pulmonary embolism, pneumothorax, bleeding or infection occurred intraoperatively. Thus, the PVP with unilateral multiple channels approach effectively relieve the pain and improve the functional activity, without occurrence of complications.

Keywords

Percutaneous vertebroplasty Unilateral approach Multiple channels.

Wei, H., & Ma, X. (2017). Application of unilateral multiple channels approach in percutaneous vertebroplasty for osteoporotic vertebral fractures. Cellular and Molecular Biology, 63(10), 69–73. https://doi.org/10.14715/cmb/2017.63.10.11

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References

Alvarez L, Perez-Higueras A, Granizo JJ, et al. Predictors of outcomes of percutaneous vertebroplasty for osteoporotic vertebral fractures. Spine, 2005, 30: 87- 92.
Liu AH, Wu ZX, Yang XJ, et al. Treatment of senior vertebral compressive fracture with vertebroplasty by trans-single-pedicular approach. Zhongguo Xian Dai Yi Xue Za Zhi,2006,16 (17):2623-2625.
Zhang GL, Ge BF. Percutaneous vertebroplasty complications. Zhongguo Gu Shang/China J Orthop Trauma,2013,26(3):257-260.
He SC, Teng GJ, Deng G, et al. Percutaneous vertebroplasty for osteoporotic vertebral fractures with intraosseous cystic cavitary phenomena. Jie Ru Fang She Za Zhi,2005, 14: 256-260.
Huskisson EC. Measurement of pain. Lancet, 1974, 2(7889): 1127-1131.
Roland M, Fairbank J. The Roland-Mirrors disability questionnaire and the Oswestry questionnaire. Spine, 2000, 25: 3115-3124.
Krauss M,Hirschfelder H,Tomandl B, et al. Kyphosis reduction and the rate of cement leaks after vertebroplasty of intravertebral clefts. Eur Radiol,2006,16(5): 1015-1021.
Yang FJ, Lin WL, Jiong Z, et al. Percutaneous vertebroplasty and percutanous kyphoplasty for osteoporotic vertebral fractures. Zhongguo Ji Zhu Ji Sui Za Zhi. 2011,21(1):50-54.
Hadjipavlou AG, Tzermiadianos MN, Katonis PG, et al. Percutaneous vertebroplasty and balloon kyphoplasty for the treatment of osteopo-rotic vertebral fractures and osteolytic tumours. J Bone Joint Surg Br, 2005, 87(12): 1595-1604.
De Negri P, Tirri T, Paternoster G, et al. Treatment of painful or traumatic vertebral fractures by percutaneous vertebral augmentation procedures: a nonrandomized comparison between vertebroplasty and kyphoplasty. Clin J Pain, 2007, 23(5): 425-430.
Wang XW, Lu JM, Yu WL, et al. Comparison of clinical effect and costs between percutaneous vertebroplasty and kyphoplasty for the treatment of acute osteoporotic vertebral mild compression fractures. Lin Chuang Gu Ke Za Zhi. 2012,15(2):125-128
Peter fritzell, Acke hOlin, Fredrik Borgstrom, et al. Cost-effectiveness of kyphoplasty versus standard medical treatment in patients with osteoporotic vertebralfracture: a swedish multicenter randomized controlled trial with 2-year follow-up. Spine J,2011,36: 2243-2251.
Chen LH, Lai PL, Chen WJ. Unipedicle percutaneous vertebroplasty for spinal intraosseous vacuum cleft. Clin Orthop Relat Res,2005, (435): 148-153.
GaborK, Zsolt H, KatalinS, et al. Comparison of CT character rustics of exyravertebral cement leakages after vertebroplasty performed by different navigation and injection techniques. Acta Neurochir,2008,150(7): 677-683.
Song BK, Eun JP, Oh YM. Clinical and radiological comparison of unipedicular versus bipedicular balloon kyphoplasty for the treatment of vertebral fractures. Osteoporos Int, 2009, 20(10): 1717-1723.
Tong PJ, Huang ZM, Li J, et al. The prevention and treatment of bone cement leakage after percutaneous kyphoplasty. Zhong Hua Wai Ke Za Zhi. 2007,45:1432-1433.
Ni WF, Chi YL, Lin Y, et al. The classification and its clinical value for extravertebral cement leakage complicated by percutaneous vertebral augmentation. Zhonghua Wai Ke Za Zhi. 2006,44:231-234.
Phillips FM. Minimally invasive treatments of osteoporotic vertebralfracture. Spine,2003, 28(Suppl): S45-53.
Peh WC, Gelbart MS, Gilula LA, et al. Percutaneous vertebroplasty: treatment of painful vertebral fractures with intraosseous vacuum phenomena. Am J Roentgenol, 2003,180(5): 1411-1417.
Yang HL, Wang GL, Jiang WM. Graded infusion of bone cement in balloon kyphoplasty for Kümmell's disease.Ji Zhu Wai Ke Za Zhi. 2012,10(1):22-24.
Weisskopf M,Ohnsorge JA,Niethard FU,et al. Intravertebral pressure during vertebroplasty and balloon kyphoplasty: an in ivtro study. Spine,2008,3:178-182.
Chen L, Yang HL, Tang TS. Efficacy of balloon Kyphoplasty for the treatment of multi-vertebral osteoporotic compression fracture. Zhonghua Gu Ke Za Zhi. 2009, 29(4):310-314.

References

Alvarez L, Perez-Higueras A, Granizo JJ, et al. Predictors of outcomes of percutaneous vertebroplasty for osteoporotic vertebral fractures. Spine, 2005, 30: 87- 92.

Liu AH, Wu ZX, Yang XJ, et al. Treatment of senior vertebral compressive fracture with vertebroplasty by trans-single-pedicular approach. Zhongguo Xian Dai Yi Xue Za Zhi,2006,16 (17):2623-2625.

Zhang GL, Ge BF. Percutaneous vertebroplasty complications. Zhongguo Gu Shang/China J Orthop Trauma,2013,26(3):257-260.

He SC, Teng GJ, Deng G, et al. Percutaneous vertebroplasty for osteoporotic vertebral fractures with intraosseous cystic cavitary phenomena. Jie Ru Fang She Za Zhi,2005, 14: 256-260.

Huskisson EC. Measurement of pain. Lancet, 1974, 2(7889): 1127-1131.

Roland M, Fairbank J. The Roland-Mirrors disability questionnaire and the Oswestry questionnaire. Spine, 2000, 25: 3115-3124.

Krauss M,Hirschfelder H,Tomandl B, et al. Kyphosis reduction and the rate of cement leaks after vertebroplasty of intravertebral clefts. Eur Radiol,2006,16(5): 1015-1021.

Yang FJ, Lin WL, Jiong Z, et al. Percutaneous vertebroplasty and percutanous kyphoplasty for osteoporotic vertebral fractures. Zhongguo Ji Zhu Ji Sui Za Zhi. 2011,21(1):50-54.

Hadjipavlou AG, Tzermiadianos MN, Katonis PG, et al. Percutaneous vertebroplasty and balloon kyphoplasty for the treatment of osteopo-rotic vertebral fractures and osteolytic tumours. J Bone Joint Surg Br, 2005, 87(12): 1595-1604.

De Negri P, Tirri T, Paternoster G, et al. Treatment of painful or traumatic vertebral fractures by percutaneous vertebral augmentation procedures: a nonrandomized comparison between vertebroplasty and kyphoplasty. Clin J Pain, 2007, 23(5): 425-430.

Wang XW, Lu JM, Yu WL, et al. Comparison of clinical effect and costs between percutaneous vertebroplasty and kyphoplasty for the treatment of acute osteoporotic vertebral mild compression fractures. Lin Chuang Gu Ke Za Zhi. 2012,15(2):125-128

Peter fritzell, Acke hOlin, Fredrik Borgstrom, et al. Cost-effectiveness of kyphoplasty versus standard medical treatment in patients with osteoporotic vertebralfracture: a swedish multicenter randomized controlled trial with 2-year follow-up. Spine J,2011,36: 2243-2251.

Chen LH, Lai PL, Chen WJ. Unipedicle percutaneous vertebroplasty for spinal intraosseous vacuum cleft. Clin Orthop Relat Res,2005, (435): 148-153.

GaborK, Zsolt H, KatalinS, et al. Comparison of CT character rustics of exyravertebral cement leakages after vertebroplasty performed by different navigation and injection techniques. Acta Neurochir,2008,150(7): 677-683.

Song BK, Eun JP, Oh YM. Clinical and radiological comparison of unipedicular versus bipedicular balloon kyphoplasty for the treatment of vertebral fractures. Osteoporos Int, 2009, 20(10): 1717-1723.

Tong PJ, Huang ZM, Li J, et al. The prevention and treatment of bone cement leakage after percutaneous kyphoplasty. Zhong Hua Wai Ke Za Zhi. 2007,45:1432-1433.

Ni WF, Chi YL, Lin Y, et al. The classification and its clinical value for extravertebral cement leakage complicated by percutaneous vertebral augmentation. Zhonghua Wai Ke Za Zhi. 2006,44:231-234.

Phillips FM. Minimally invasive treatments of osteoporotic vertebralfracture. Spine,2003, 28(Suppl): S45-53.

Peh WC, Gelbart MS, Gilula LA, et al. Percutaneous vertebroplasty: treatment of painful vertebral fractures with intraosseous vacuum phenomena. Am J Roentgenol, 2003,180(5): 1411-1417.

Yang HL, Wang GL, Jiang WM. Graded infusion of bone cement in balloon kyphoplasty for Kümmell's disease.Ji Zhu Wai Ke Za Zhi. 2012,10(1):22-24.

Weisskopf M,Ohnsorge JA,Niethard FU,et al. Intravertebral pressure during vertebroplasty and balloon kyphoplasty: an in ivtro study. Spine,2008,3:178-182.

Chen L, Yang HL, Tang TS. Efficacy of balloon Kyphoplasty for the treatment of multi-vertebral osteoporotic compression fracture. Zhonghua Gu Ke Za Zhi. 2009, 29(4):310-314.