LinkedIn

 آمار

تعداد نشریات21
تعداد شماره‌ها1,281
تعداد مقالات11,709
تعداد مشاهده مقاله82,583,758
تعداد دریافت فایل اصل مقاله121,493,141
Huang, Feng, He, Yi Hang, Lin, Lu, Cheng, Yun, Wang, Yang, Chen, XiaoLin, Ke, Zhen Yong. (1405). Unilateral Pedicular Puncture with Lateral Injection for Osteoporotic Vertebral Compression Fractures in the Upper and Middle Thoracic Vertebrae: A Technical Report and Efficacy Comparison. سامانه مدیریت نشریات علمی, (), -. doi: 10.30476/ijms.2026.106836.4149
Feng Huang; Yi Hang He; Lu Lin; Yun Cheng; Yang Wang; XiaoLin Chen; Zhen Yong Ke. "Unilateral Pedicular Puncture with Lateral Injection for Osteoporotic Vertebral Compression Fractures in the Upper and Middle Thoracic Vertebrae: A Technical Report and Efficacy Comparison". سامانه مدیریت نشریات علمی, , , 1405, -. doi: 10.30476/ijms.2026.106836.4149
Huang, Feng, He, Yi Hang, Lin, Lu, Cheng, Yun, Wang, Yang, Chen, XiaoLin, Ke, Zhen Yong. (1405). 'Unilateral Pedicular Puncture with Lateral Injection for Osteoporotic Vertebral Compression Fractures in the Upper and Middle Thoracic Vertebrae: A Technical Report and Efficacy Comparison', سامانه مدیریت نشریات علمی, (), pp. -. doi: 10.30476/ijms.2026.106836.4149
Huang, Feng, He, Yi Hang, Lin, Lu, Cheng, Yun, Wang, Yang, Chen, XiaoLin, Ke, Zhen Yong. Unilateral Pedicular Puncture with Lateral Injection for Osteoporotic Vertebral Compression Fractures in the Upper and Middle Thoracic Vertebrae: A Technical Report and Efficacy Comparison. سامانه مدیریت نشریات علمی, 1405; (): -. doi: 10.30476/ijms.2026.106836.4149

Unilateral Pedicular Puncture with Lateral Injection for Osteoporotic Vertebral Compression Fractures in the Upper and Middle Thoracic Vertebrae: A Technical Report and Efficacy Comparison

Iranian Journal of Medical Sciences
مقالات آماده انتشار، اصلاح شده برای چاپ، انتشار آنلاین از تاریخ 10 تیر 1405    اصل مقاله (1.5 M)
نوع مقاله: Original Article(s)
شناسه دیجیتال (DOI): 10.30476/ijms.2026.106836.4149
نویسندگان
Feng Huang؛ Yi Hang He؛ Lu Lin؛ Yun Cheng؛ Yang Wang؛ XiaoLin Chen* ؛ Zhen Yong Ke
Department of Orthopedic Surgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China
چکیده
Background: Percutaneous vertebroplasty (PVP) for upper and middle thoracic osteoporotic vertebral compression fractures (OVCFs) is challenged by technical difficulties and safety concerns, which drive the need for innovative techniques to optimize its efficacy. The purpose of this study was to delineate the technical characteristics of a novel methodology and to conduct a comparative analysis of its efficacy against bilateral transpedicular puncture PVP.
Methods: A retrospective study was conducted on consecutive patients undergoing PVP for upper/middle thoracic OVCFs at the Second Affiliated Hospital of Chongqing Medical University (Chongqing, China) between January 2019 and December 2024. Patients were allocated to either the unilateral transpedicular puncture lateral injection (UTPLI) or the conventional bilateral transpedicular puncture (BTP) group based on the surgical timeline, with earlier cases undergoing BTP and later ones UTPLI. Baseline characteristics, operative time, estimated blood loss, cement volume, visual analogue scale (VAS), Oswestry disability index (ODI), vertebral and segmental kyphosis angles, anterior/middle/posterior vertebral heights, and postoperative cement distribution indices were recorded and compared between the two groups. Data were analyzed with SPSS software (version 26.0) using Chi square, t tests, and non-parametric tests.
Results: A total of 57 patients were enrolled (UTPLI group=21, BTP group=36). The UTPLI group had a shorter operation time (18.00±9.00 min vs. 25.00±9.00 min, P=0.002) and less estimated blood loss (3.93±1.22 mL vs. 5.13±1.37 mL, P=0.002). No significant intergroup differences were found in VAS, ODI, kyphosis angles (vertebral, segmental, thoracic), vertebral heights (anterior, middle, posterior), baseline data, bone cement leakage, cement dispersion index, or spatial distribution scores, either preoperatively or postoperatively (P>0.05).
Conclusion: The UTPLI technique is a viable alternative to BTP PVP for upper and middle thoracic OVCFs. It reduced operative time and blood loss while achieving comparable outcomes.

تازه های تحقیق

Feng Huang (Google Scholar)

XiaoLin Chen (Google Scholar)

کلیدواژه‌ها
Thoracic vertebra؛ Vertebroplasty؛ Osteoporosis؛ Compression fractures؛ Bone cements
مراجع
  1. Hinde K, Maingard J, Hirsch JA, Phan K, Asadi H, Chandra RV. Mortality Outcomes of Vertebral Augmentation (Vertebroplasty and/or Balloon Kyphoplasty) for Osteoporotic Vertebral Compression Fractures: A Systematic Review and Meta-Analysis. Radiology. 2020;295:96-103. doi: 10.1148/radiol.2020191294. PubMed PMID: 32068503.
  2. Deng L, Lv N, Hu X, Guan Y, Hua X, Pan Z, et al. Comparison of Efficacy of Percutaneous Vertebroplasty versus Percutaneous Kyphoplasty in the Treatment of Osteoporotic Vertebral Asymmetric Compression Fracture. World Neurosurg. 2022;167:e1225-e30. doi: 10.1016/j.wneu.2022.09.017. PubMed PMID: 36089275.
  3. Tao W, Hu Q, Nicolas YSM, Nuo X, Daoyu H, Zhen J, et al. Is unilateral transverse process-pedicle percutaneous kyphoplasty a better choice for osteoporotic thoracolumbar fractures in the old patients? BMC Surg. 2021;21:252. doi: 10.1186/s12893-021-01246-8. PubMed PMID: 34020645; PubMed Central PMCID: PMC8139159.
  4. Hong H, Li J, Ding H, Deng Y, Deng Z, Jiang Q. Unilaterally extrapedicular versus transpedicular kyphoplasty in treating osteoporotic lumbar fractures: a randomized controlled study. J Orthop Surg Res. 2023;18:801. doi: 10.1186/s13018-023-04267-6. PubMed PMID: 37884925; PubMed Central PMCID: PMC10604808.
  5. Clark W, Bird P, Gonski P, Diamond TH, Smerdely P, McNeil HP, et al. Safety and efficacy of vertebroplasty for acute painful osteoporotic fractures (VAPOUR): a multicentre, randomised, double-blind, placebo-controlled trial. Lancet. 2016;388:1408-16. doi: 10.1016/S0140-6736(16)31341-1. PubMed PMID: 27544377.
  6. Firanescu CE, de Vries J, Lodder P, Venmans A, Schoemaker MC, Smeets AJ, et al. Vertebroplasty versus sham procedure for painful acute osteoporotic vertebral compression fractures (VERTOS IV): randomised sham controlled clinical trial. BMJ. 2018;361:k1551. doi: 10.1136/bmj.k1551. PubMed PMID: 29743284; PubMed Central PMCID: PMC5941218.
  7. Tan Y, Liu J, Li X, Fang L, He D, Tan J, et al. Multilevel unilateral versus bilateral pedicular percutaneous vertebroplasty for osteoporotic vertebral compression fractures. Front Surg. 2022;9:1051626. doi: 10.3389/fsurg.2022.1051626. PubMed PMID: 36684261; PubMed Central PMCID: PMC9852753.
  8. Cao DH, Gu WB, Zhao HY, Hu JL, Yuan HF. Advantages of unilateral percutaneous kyphoplasty for osteoporotic vertebral compression fractures-a systematic review and meta-analysis. Arch Osteoporos. 2024;19:38. doi: 10.1007/s11657-024-01400-8. PubMed PMID: 38750277.
  9. Lu J, Huang L, Chen W, Luo Z, Yang H, Liu T. Bilateral percutaneous kyphoplasty achieves more satisfactory outcomes compared to unilateral percutaneous kyphoplasty in osteoporotic vertebral compression fractures: A comprehensive comparative study. J Back Musculoskelet Rehabil. 2023;36:97-105. doi: 10.3233/BMR-210225. PubMed PMID: 35938239.
  10. Sun H, Li C. Comparison of unilateral and bilateral percutaneous vertebroplasty for osteoporotic vertebral compression fractures: a systematic review and meta-analysis. J Orthop Surg Res. 2016;11:156. doi: 10.1186/s13018-016-0479-6. PubMed PMID: 27908277; PubMed Central PMCID: PMC5134099.
  11. Yilmaz A, Cakir M, Yucetas CS, Urfali B, Ucler N, Altas M, et al. Percutaneous Kyphoplasty: Is Bilateral Approach Necessary? Spine (Phila Pa 1976). 2018;43:977-83. doi: 10.1097/BRS.0000000000002531. PubMed PMID: 29280933.
  12. Qiao Y, Wang X, Liu Y, Hu J, Yuan FH, Zhao ZG. Comparison of Unilateral and Bilateral Percutaneous Kyphoplasty for Osteoporotic Vertebral Compression Fractures. J Pain Res. 2023;16:1813-23. doi: 10.2147/JPR.S393333. PubMed PMID: 37273274; PubMed Central PMCID: PMC10239257.
  13. Zhang Y, Chen X, Ji J, Xu Z, Sun H, Dong L, et al. Comparison of Unilateral and Bilateral Percutaneous Kyphoplasty for Bone Cement Distribution and Clinical Efficacy: An Analysis Using Three-Dimensional Computed Tomography Images. Pain Physician. 2022;25:E805-E13. PubMed PMID: 36122263.
  14. Sun HB, Jing XS, Liu YZ, Qi M, Wang XK, Hai Y. The Optimal Volume Fraction in Percutaneous Vertebroplasty Evaluated by Pain Relief, Cement Dispersion, and Cement Leakage: A Prospective Cohort Study of 130 Patients with Painful Osteoporotic Vertebral Compression Fracture in the Thoracolumbar Vertebra. World Neurosurg. 2018;114:e677-e88. doi: 10.1016/j.wneu.2018.03.050. PubMed PMID: 29555612.
  15. Sun HB, Jing XS, Liu YZ, Qi M, Wang XK, Hai Y. The Optimal Volume Fraction in Percutaneous Vertebroplasty Evaluated by Pain Relief, Cement Dispersion, and Cement Leakage: A Prospective Cohort Study of 130 Patients with Painful Osteoporotic Vertebral Compression Fracture in the Thoracolumbar Vertebra. World Neurosurg. 2018;114:e677-e88. doi: 10.1016/j.wneu.2018.03.050. PubMed PMID: 29555612.
  16. Sun H, Tang W, Sun X, Gu Q, Li Y, Sun Z, et al. Percutaneous Kyphoplasty via Transverse Process-Rib-Pedicle Approach for Upper and Middle Thoracic Osteoporosis Fracture with Pedicle Stenosis. World Neurosurg. 2024;189:e605-e11. doi: 10.1016/j.wneu.2024.06.123. PubMed PMID: 38936613.
  17. Bu D, He X. Comparison of different approaches of percutaneous vertebroplasty in the treatment of osteoporotic spinal compression fractures and analysis of influencing factors of re-fracture. Pak J Med Sci. 2023;39:144-9. doi: 10.12669/pjms.39.1.7069. PubMed PMID: 36694752; PubMed Central PMCID: PMC9842983.
  18. Tan B, Yang QY, Fan B, Lei C, Hu ZM. Is It Necessary to Approach the Severe Osteoporotic Vertebral Biconcave-Shaped Fracture Bilaterally During the Process of PKP? J Pain Res. 2021;14:1601-10. doi: 10.2147/JPR.S293528. PubMed PMID: 34113167; PubMed Central PMCID: PMC8187090.
  19. Zhang T, Deng Y. A design of a targeted puncture trajectory applied to unilateral extrapedicular percutaneous vertebroplasty. BMC Musculoskelet Disord. 2023;24:268. doi: 10.1186/s12891-023-06387-w. PubMed PMID: 37020264; PubMed Central PMCID: PMC10074873.
  20. Lin J, Qian L, Jiang C, Chen X, Feng F, Lao L. Bone cement distribution is a potential predictor to the reconstructive effects of unilateral percutaneous kyphoplasty in OVCFs: a retrospective study. J Orthop Surg Res. 2018;13:140. doi: 10.1186/s13018-018-0839-5. PubMed PMID: 29880007; PubMed Central PMCID: PMC5992789.
  21. Mo L, Wu Z, Liang D, Y L, Cai Z, Huang J, et al. Influence of bone cement distribution on outcomes following percutaneous vertebroplasty: a retrospective matched-cohort study. J Int Med Res. 2021;49:3000605211022287. doi: 10.1177/03000605211022287. PubMed PMID: 34233516; PubMed Central PMCID: PMC8755653.
  22. Huang Y, Liu Y, Zhong F, Zhou X, Huang S, Huang C, et al. Percutaneous Curved Vertebroplasty Versus Unilateral Percutaneous Vertebroplasty for Osteoporotic Vertebral Compression Fractures: A Systematic Review and Meta-Analysis. World Neurosurg. 2024;181:29-37. doi: 10.1016/j.wneu.2023.10.035. PubMed PMID: 37839572.
  23. Zhou Q, Wan Y, Ma L, Dong L, Yuan W. Percutaneous Curved Vertebroplasty Decrease the Risk of Cemented Vertebra Refracture Compared with Bilateral Percutaneous Kyphoplasty in the Treatment of Osteoporotic Vertebral Compression Fractures. Clin Interv Aging. 2024;19:289-301. doi: 10.2147/CIA.S438036. PubMed PMID: 38434576; PubMed Central PMCID: PMC10907131.
  24. Zheng HL, Li B, Jiang QY, Jiang LS, Zheng XF, Jiang SD. Optimizing percutaneous vertebroplasty: extra-facet puncture for osteoporotic vertebral compression fractures. J Orthop Surg Res. 2023;18:887. doi: 10.1186/s13018-023-04368-2. PubMed PMID: 37993875; PubMed Central PMCID: PMC10664349.
  25. Zhao H, Ren K, Dong X, Liao B. The clinical efficacy of percutaneous vertebroplasty combined with postural reduction versus kyphoplasty: A systematic review and meta-analysis. J Back Musculoskelet Rehabil. 2025;38:655-61. doi: 10.1177/10538127241296690. PubMed PMID: 40370055.
آمار
تعداد مشاهده مقاله: 7
تعداد دریافت فایل اصل مقاله: 8


سامانه مدیریت نشریات علمی. قدرت گرفته از سیناوب