Application of Anchoring Technique in Unilateral Percutaneous Vertebroplasty for Neurologically Intact Kümmell’s Disease
Purpose. We aimed to present our experience in anchoring technique and evaluate the efficacy and safety of unilateral percutaneous vertebroplasty in patients with neurologically intact Kümmell’s disease. Methods. From January 2014 to December 2017, 29 patients (17 males and 12 females) with neurolog...
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Wiley
2020-01-01
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| Series: | Pain Research and Management |
| Online Access: | http://dx.doi.org/10.1155/2020/4145096 |
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| author | Rongqing Qin Xing Zhang Hongpeng Liu Bing Zhou Pin Zhou Chuanliang Hu |
| author_facet | Rongqing Qin Xing Zhang Hongpeng Liu Bing Zhou Pin Zhou Chuanliang Hu |
| author_sort | Rongqing Qin |
| collection | DOAJ |
| description | Purpose. We aimed to present our experience in anchoring technique and evaluate the efficacy and safety of unilateral percutaneous vertebroplasty in patients with neurologically intact Kümmell’s disease. Methods. From January 2014 to December 2017, 29 patients (17 males and 12 females) with neurologically intact Kümmell’s disease were operated on using anchoring technique in unilateral percutaneous vertebroplasty (PVP). Ages of the enrolled patients ranged from 67 to 81 years (mean 73.8 years). Clinical efficacy was evaluated by back pain visual analogue scale (BP-VAS) score, Oswestry disability index (ODI) score, as well as the height of anterior border and the kyphotic angle of the involved vertebral body on a standing lateral radiograph. The safety of PVP was assessed by surgical-related complications, including bone cement leakage and neurological deficit. Results. All 29 patients underwent the PVP procedure successfully. The mean operation time was 35 ± 12 min. And all patients were able to walk/ambulate with a thoracolumbar brace after 12 to 24 hours, staying in bed postoperatively. Significantly statistical differences were observed in both BP-VAS and ODI scores at each time point of follow-up when compared with the preoperative condition (P<0.05). Besides, statistically significant improvement in radiographic measurements such as kyphotic angle and the height of the anterior border of the involved vertebral body between the preoperative and postoperative assessments was also observed (P<0.05) and asymptomatic leakage of cement occurred in 7 of 29 cases (24.1%). Conclusions. We considered that the anchoring technique in unilateral PVP could provide an effective and safe alternative for neurologically intact Kümmell’s disease. |
| format | Article |
| id | doaj-art-0b0d853e38ea4213b599837c67f04afb |
| institution | Kabale University |
| issn | 1203-6765 1918-1523 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Pain Research and Management |
| spelling | doaj-art-0b0d853e38ea4213b599837c67f04afb2025-02-03T01:01:31ZengWileyPain Research and Management1203-67651918-15232020-01-01202010.1155/2020/41450964145096Application of Anchoring Technique in Unilateral Percutaneous Vertebroplasty for Neurologically Intact Kümmell’s DiseaseRongqing Qin0Xing Zhang1Hongpeng Liu2Bing Zhou3Pin Zhou4Chuanliang Hu5Department of Spinal Surgery, Gaoyou Hospital Affiliated Soochow University, Gaoyou, Jiangsu 225600, ChinaDepartment of Spinal Surgery, Gaoyou Hospital Affiliated Soochow University, Gaoyou, Jiangsu 225600, ChinaDepartment of Spinal Surgery, Gaoyou Hospital Affiliated Soochow University, Gaoyou, Jiangsu 225600, ChinaDepartment of Spinal Surgery, Gaoyou Hospital Affiliated Soochow University, Gaoyou, Jiangsu 225600, ChinaDepartment of Orthopedics, Gaoyou Hospital of Integrated Traditional Chinese and Western Medicine, Gaoyou, Jiangsu 225600, ChinaDepartment of Spinal Surgery, Gaoyou Hospital Affiliated Soochow University, Gaoyou, Jiangsu 225600, ChinaPurpose. We aimed to present our experience in anchoring technique and evaluate the efficacy and safety of unilateral percutaneous vertebroplasty in patients with neurologically intact Kümmell’s disease. Methods. From January 2014 to December 2017, 29 patients (17 males and 12 females) with neurologically intact Kümmell’s disease were operated on using anchoring technique in unilateral percutaneous vertebroplasty (PVP). Ages of the enrolled patients ranged from 67 to 81 years (mean 73.8 years). Clinical efficacy was evaluated by back pain visual analogue scale (BP-VAS) score, Oswestry disability index (ODI) score, as well as the height of anterior border and the kyphotic angle of the involved vertebral body on a standing lateral radiograph. The safety of PVP was assessed by surgical-related complications, including bone cement leakage and neurological deficit. Results. All 29 patients underwent the PVP procedure successfully. The mean operation time was 35 ± 12 min. And all patients were able to walk/ambulate with a thoracolumbar brace after 12 to 24 hours, staying in bed postoperatively. Significantly statistical differences were observed in both BP-VAS and ODI scores at each time point of follow-up when compared with the preoperative condition (P<0.05). Besides, statistically significant improvement in radiographic measurements such as kyphotic angle and the height of the anterior border of the involved vertebral body between the preoperative and postoperative assessments was also observed (P<0.05) and asymptomatic leakage of cement occurred in 7 of 29 cases (24.1%). Conclusions. We considered that the anchoring technique in unilateral PVP could provide an effective and safe alternative for neurologically intact Kümmell’s disease.http://dx.doi.org/10.1155/2020/4145096 |
| spellingShingle | Rongqing Qin Xing Zhang Hongpeng Liu Bing Zhou Pin Zhou Chuanliang Hu Application of Anchoring Technique in Unilateral Percutaneous Vertebroplasty for Neurologically Intact Kümmell’s Disease Pain Research and Management |
| title | Application of Anchoring Technique in Unilateral Percutaneous Vertebroplasty for Neurologically Intact Kümmell’s Disease |
| title_full | Application of Anchoring Technique in Unilateral Percutaneous Vertebroplasty for Neurologically Intact Kümmell’s Disease |
| title_fullStr | Application of Anchoring Technique in Unilateral Percutaneous Vertebroplasty for Neurologically Intact Kümmell’s Disease |
| title_full_unstemmed | Application of Anchoring Technique in Unilateral Percutaneous Vertebroplasty for Neurologically Intact Kümmell’s Disease |
| title_short | Application of Anchoring Technique in Unilateral Percutaneous Vertebroplasty for Neurologically Intact Kümmell’s Disease |
| title_sort | application of anchoring technique in unilateral percutaneous vertebroplasty for neurologically intact kummell s disease |
| url | http://dx.doi.org/10.1155/2020/4145096 |
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