| ABSTRACT Objective: To explore the clinical efficacy of Bone setting technique combined with PVP (Percutaneous Vertebroplasty, PVP) and simple PKP (Percutaneous Kyphoplasty, PKP) in the treatment of osteoporotic vertebral compression fractures (OVCFs). Methods: A retrospective analysis was conducted on 80 patients with single-segment osteoporotic vertebral compression fractures admitted to our hospital from January 2021 to June 2022. According to the different surgical methods, they were divided into the treatment group and the control group. The treatment group consisted of 40 cases, using Bone setting technique combined with PVP, including 24 males and 16 females, with an average age of (42.75±8.76) years. Among the causative factors, 17 cases were due to traffic accidents, 11 cases were due to falls from height, and 12 cases were due to falls. The fractured segments included 1 case of T10, 4 cases of T11, 11 cases of T12, 7 cases of L1, 7 cases of L2, 5 cases of L3, 3 cases of L4, and 2 cases of L5. The control group consisted of 40 cases, treated with simple PKP surgery, including 27 males and 13 females, with an average age of (41.70±9.82) years. Among the causative factors, 13 cases were due to traffic accidents, 18 cases were due to falls from height, and 9 cases were due to falls. The fractured segments included 2 cases of T10, 3 cases of T11, 14 cases of T12, 11 cases of L1, 5 cases of L2, 3 cases of L3, 2 cases of L4, and 1 case of L5. The VAS score and Oswestry Disability Index were compared between the two groups before treatment, 3 days after treatment, 3 months after treatment, and 12 months after treatment. At the same time, the local kyphotic angle, vertebral wedge angle, and vertebral anterior height ratio of the injured vertebrae were compared between the two groups before treatment, 3 days after treatment, and 12 months after treatment. Results: Both groups of patients successfully completed the surgery. In the treatment group, 3 cases of intraoperative bone cement leakage occurred, while in the control group, 1 case of intraoperative bone cement leakage and 1 case of postoperative lower limb sensory impairment occurred, both of which were managed symptomatically without serious adverse consequences. All patients were followed up, with a follow-up time of (17.09±2.16) months in the treatment group and (16.84±2.53) months in the control group. There was no statistically significant difference in the preoperative VAS score and ODI index between the two groups (P>0.05). The VAS score 3 days after treatment in the treatment group was (3.68±0.62), while in the control group it was (4.00±0.72), and the difference was statistically significant (P<0.05). There was no statistically significant difference in the comparison of VAS score and ODI index between the two groups at other time points. There was no statistically significant difference in the local kyphotic angle, vertebral wedge angle, and vertebral anterior height ratio before treatment between the two groups (P>0.05). There was no statistically significant difference in the comparison of local kyphotic angle, vertebral wedge angle, and vertebral anterior height ratio between the two groups after treatment (P>0.05). Conclusion: Bone setting technique combined with PVP has advantages in early postoperative pain relief compared to simple PKP in the treatment of osteoporotic vertebral compression fractures. In terms of vertebral height restoration, the effects of Bone setting technique combined with PVP and simple PKP are equivalent. |
