PMID- 37993875
OWN - NLM
STAT- MEDLINE
DCOM- 20231127
LR  - 20231127
IS  - 1749-799X (Electronic)
IS  - 1749-799X (Linking)
VI  - 18
IP  - 1
DP  - 2023 Nov 22
TI  - Optimizing percutaneous vertebroplasty: extra-facet puncture for osteoporotic 
      vertebral compression fractures.
PG  - 887
LID - 10.1186/s13018-023-04368-2 [doi]
LID - 887
AB  - PURPOSE: To assess the safety and efficacy of the extra-facet puncture technique 
      applied in unilateral percutaneous vertebroplasty (PVP) for treating osteoporotic 
      vertebral compression fractures. METHODS: Demographics (age, gender, body mass 
      index and underlying diseases) were recorded for analyzing. Visual analog scale 
      (VAS) and Oswestry Disability Index (ODI) scores as well as their corresponding 
      minimal clinically important difference (MCID) were used to evaluate clinical 
      outcomes. The segmental kyphotic angle, the vertebral compression ratio and bone 
      cement distribution pattern were evaluated by the plain radiographs. The facet 
      joint violation (FJV) was defined by the postoperative computed tomography scan. 
      Binary logistic regression analysis was performed to investigate relationships 
      between multiple risk factors and residual back pain. RESULTS: VAS and ODI scores 
      in both traditional puncture group and extra-facet puncture group were 
      significantly decreased after PVP surgery (p < 0.05). However, no significant 
      difference was observed between the two groups according to VAS and ODI scores. 
      The proportion of patients achieving MCID of VAS and ODI scores was higher in 
      extra-facet puncture group as compared to traditional puncture group within a 
      month (p < 0.05). Finally, multivariate logistic regression analysis showed that 
      FJV (odds ratio 16.38, p < 0.001) and unilateral bone cement distribution (OR 
      5.576, p = 0.020) were significant predictors of residual back pain after PVP 
      surgery. CONCLUSIONS: Extra-facet puncture percutaneous vertebroplasty can 
      decrease the risk of FJV and it also has the advantage of more satisfied bone 
      cement distribution.
CI  - (c) 2023. The Author(s).
FAU - Zheng, Huo-Liang
AU  - Zheng HL
AD  - Department of Clinic of Spine Center, Xinhua Hospital, Shanghai Jiaotong 
      University School of Medicine, Shanghai, 200092, China.
FAU - Li, Bo
AU  - Li B
AD  - Department of Clinic of Spine Center, Xinhua Hospital, Shanghai Jiaotong 
      University School of Medicine, Shanghai, 200092, China.
FAU - Jiang, Qin-Yu
AU  - Jiang QY
AD  - Shanghai Weiyu High School, Shanghai, 200231, China.
FAU - Jiang, Lei-Sheng
AU  - Jiang LS
AD  - Department of Clinic of Spine Center, Xinhua Hospital, Shanghai Jiaotong 
      University School of Medicine, Shanghai, 200092, China.
FAU - Zheng, Xin-Feng
AU  - Zheng XF
AD  - Department of Clinic of Spine Center, Xinhua Hospital, Shanghai Jiaotong 
      University School of Medicine, Shanghai, 200092, China. 
      zhengxinfeng@xinhuamed.com.cn.
FAU - Jiang, Sheng-Dan
AU  - Jiang SD
AD  - Department of Clinic of Spine Center, Xinhua Hospital, Shanghai Jiaotong 
      University School of Medicine, Shanghai, 200092, China. 
      jiangshengdan@xinhuamed.com.cn.
LA  - eng
GR  - 20224Z0015/Shanghai Municipal Health Commission/
PT  - Journal Article
DEP - 20231122
PL  - England
TA  - J Orthop Surg Res
JT  - Journal of orthopaedic surgery and research
JID - 101265112
RN  - 0 (Bone Cements)
SB  - IM
MH  - Humans
MH  - *Spinal Fractures/diagnostic imaging/surgery/drug therapy
MH  - *Fractures, Compression/diagnostic imaging/surgery/drug therapy
MH  - *Vertebroplasty/methods
MH  - Bone Cements/therapeutic use
MH  - Treatment Outcome
MH  - Retrospective Studies
MH  - Back Pain
MH  - *Osteoporotic Fractures/diagnostic imaging/surgery/drug therapy
MH  - *Kyphoplasty/methods
PMC - PMC10664349
OTO - NOTNLM
OT  - Bone cement distribution
OT  - Extra-facet puncture
OT  - Facet joint violation
OT  - Percutaneous vertebroplasty
OT  - Residual back pain
COIS- The authors declare that they have no conflict of interest.
EDAT- 2023/11/23 06:42
MHDA- 2023/11/27 16:18
PMCR- 2023/11/22
CRDT- 2023/11/23 00:03
PHST- 2023/07/29 00:00 [received]
PHST- 2023/11/12 00:00 [accepted]
PHST- 2023/11/27 16:18 [medline]
PHST- 2023/11/23 06:42 [pubmed]
PHST- 2023/11/23 00:03 [entrez]
PHST- 2023/11/22 00:00 [pmc-release]
AID - 10.1186/s13018-023-04368-2 [pii]
AID - 4368 [pii]
AID - 10.1186/s13018-023-04368-2 [doi]
PST - epublish
SO  - J Orthop Surg Res. 2023 Nov 22;18(1):887. doi: 10.1186/s13018-023-04368-2.