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ORIGINAL ARTICLE
Year : 2015  |  Volume : 49  |  Issue : 2  |  Page : 245-250

Percutaneous vertebroplasty for single osteoporotic vertebral body compression fracture Results of unilateral 3-D percutaneous puncture technique


1 Department of Radiology, Zibo Qidu Hospital, Zibo 255400, Shan Dong, China
2 Department of Radiology, The Second Affiliated Hospital of Southeast University, Nanjing, 21003, China

Correspondence Address:
Chuan-Jun Xu
Department of Radiology, The Second Affiliated Hospital of Southeast University, No. 1 1, Zhongfu Road, Nanjing, 21003
China
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Source of Support: This study was supported by 2010 Science and Technology Projects of Zibo (2010GG06212). This research was also funded in part by grantYKK10053 from the Nanjing Medical Science and Technique Development Foundation, Conflict of Interest: None


DOI: 10.4103/0019-5413.152514

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Background: Percutaneous vertebroplasty (PVP) has been gradually used for osteoporotic vertebral compression fracture (OVCF) treatment, but severe osteoporotic vertebral body compression fractures (sOVCFs) due to the difficulty in performing a puncture and the characteristics of the fractured vertebrae, it has been considered as a contraindication to PVP. The aim of the following study was to evaluate the feasibility of a unilateral, three-dimensional (3D), accurate puncture in percutaneous vertebroplasty (PVP) for a single, severely osteoporotic vertebral body compression fracture (ssOVCFs). Materials and Methods: 57 patients received PVP in the current study. Feasibility of a unilateral approach was judged before surgery using the 64-slice helical computed tomography (CT) multiplanar reconstruction technique, a 3D accurate puncture plan was then determined. The skin bone distance, puncture angle and needle insertion depth were recorded during surgery. 2D CT rechecking was performed for any complication at day 1 after operation. Preoperative and postoperative numerical data were compared. Results: The procedure was completed smoothly in all patients. 2D CT scanning at day 1 after operation did not show any puncture related complications. Visual analog scoring (VAS) showed that the score at day 3 after surgery was reduced to 1.7 ± 0.4 (0-2.9 scale) from the preoperative 7.9 ± 2.1 (6.1-9.5 scale). No significant differences in measure numerical data were found before and after the surgery. At 12 months followup three patients presented with nonadjacent level fractures, VAS for other patients were 1.2 ± 0.3 (0-2.1 scale). Conclusions: Application of CT scanning for a unilateral 3D puncture design helps realize an accurate puncture in PVP. It is a safe and effective method for ssOVCFs treatment.


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