Efficacy of 3D printing assisted percutaneous vertebroplasty in the treatment of severe osteoporotic vertebral compression fractures

WEI Chang-hui; ZHANG Wei; LU Jun-hao; PENG Chen-jian; BAI Mao-sheng; WANG Jun

doi:10.11659/jjssx.10E022049

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Efficacy of 3D printing assisted percutaneous vertebroplasty in the treatment of severe osteoporotic vertebral compression fractures

Clinical Research | 更新时间：2023-10-23

- Efficacy of 3D printing assisted percutaneous vertebroplasty in the treatment of severe osteoporotic vertebral compression fractures
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 32, Issue 10, Pages: 910-914(2023)
- 作者机构：
  
  南京市中医院骨伤科，江苏南京 210000
- 作者简介：
- 基金信息：
- DOI：10.11659/jjssx.10E022049
  CLC： R687.3
- Published：25 October 2023，
  
  Received：12 October 2022，
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韦昌辉,张伟,卢俊浩等.3D打印辅助经皮穿刺椎体成形术治疗重度骨质疏松性椎体压缩骨折的疗效[J].局解手术学杂志,2023,32(10):910-914.

WEI Chang-hui,ZHANG Wei,LU Jun-hao,et al.Efficacy of 3D printing assisted percutaneous vertebroplasty in the treatment of severe osteoporotic vertebral compression fractures[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2023,32(10):910-914.
韦昌辉,张伟,卢俊浩等.3D打印辅助经皮穿刺椎体成形术治疗重度骨质疏松性椎体压缩骨折的疗效[J].局解手术学杂志,2023,32(10):910-914. DOI： 10.11659/jjssx.10E022049.

WEI Chang-hui,ZHANG Wei,LU Jun-hao,et al.Efficacy of 3D printing assisted percutaneous vertebroplasty in the treatment of severe osteoporotic vertebral compression fractures[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2023,32(10):910-914. DOI： 10.11659/jjssx.10E022049.

摘要

目的

探讨3D打印技术辅助经皮穿刺椎体成形术（PVP）治疗重度骨质疏松性椎体压缩骨折（OVCF）的疗效。

方法

回顾性分析我院收治的82例重度OVCF患者的临床资料，根据手术方式不同将患者分为对照组（42例，采用常规PVP治疗）和观察组（40例，采用3D打印技术辅助PVP治疗）。比较2组手术和术后恢复相关指标、骨折椎体影像学指标、腰椎功能、疼痛程度、生活质量及并发症。

结果

观察组穿刺定位时间、手术时间短于对照组（

0.05），透视次数少于对照组（

0.05），骨水泥渗漏发生率低于对照组（

0.05）。2组术后腰椎功能、骨折椎体影像学指标、疼痛程度、生活质量均较术前改善（

0.05），但组间比较差异无统计学意义（

0.05）。

结论

3D打印技术辅助PVP治疗重度OVCF可缩短穿刺定位时间和手术时间，减少术中透视次数，降低骨水泥渗漏风险。

Abstract

Objective

To investigate the efficacy of 3D printing technology assisted percutaneous vertebroplasty （PVP） in the treatment of severe osteoporotic vertebral compression fractures （OVCF）.

Methods

The clinical data of 82 patients with severe OVCF in our hospital were retrospectively analyzed. The patients were divided into the control group （42 cases， received conventional PVP treatment） and the observation group （40 cases， received 3D printing technology assisted PVP treatment） according to different surgical methods. The operation and postoperative recovery related indexes， imaging indexes of fractured vertebrae， lumbar function， pain degree， quality of life and complications were compared between the two groups.

Results

The puncture location time and operation time of the observation group were shorter than those of the control group （

0.05）， the number of fluoroscopy was less than that of the control group （

0.05）， and the incidence of bone cement leakage was lower than that of the control group （

0.05）. The lumbar function， imaging indexes of fractured vertebrae， pain degree and quality of life after operation in the two groups were improved compared with those before operation（

0.05）， while there was no significant difference between the two groups （

0.05）.

Conclusion

The 3D printing technology assisted PVP can shorten the puncture location time and operation time， decrease the number of intraoperative fluoroscopy and reduce the risk of bone cement leakage.

关键词

骨质疏松性椎体压缩骨折经皮穿刺椎体成形术3D打印骨水泥渗漏腰椎功能

Keywords

osteoporotic vertebral compression fracturespercutaneous vertebroplasty3D printingbone cement leakagelumbar function

references

Zhao P，Guo A，Tan Z，et al.The evaluation of the treatment for old osteoporotic vertebral compression fracture pain by percutaneous vertebroplasty［J］.Medicine （Baltimore），2020，99（27）：e20479.doi：10.1097/MD.0000000000020479http://dx.doi.org/10.1097/MD.0000000000020479.

Láinez Ramos-Bossini AJ，López Zúñiga D，Ruiz Santiago F.Percutaneous vertebroplasty versus conservative treatment and placebo in osteoporotic vertebral fractures：meta-analysis and critical review of the literature［J］.Eur Radiol，2021，31（11）：8542-8553.doi：10.1007/s00330-021-08018-1http://dx.doi.org/10.1007/s00330-021-08018-1.

Haleem A，Javaid M，Suman R，et al.3D printing applications for radiology：an overview［J］.Indian J Radiol Imaging，2021，31（1）：10-17.doi：10.1055/s-0041-1729129http://dx.doi.org/10.1055/s-0041-1729129.

中华医学会骨质疏松和骨矿盐疾病分会.原发性骨质疏松症诊疗指南（2017）［J］.中华骨质疏松和骨矿盐疾病杂志，2017，10（5）：413-443.doi：10.3969/j.issn.1674-2591.2017.05.002http://dx.doi.org/10.3969/j.issn.1674-2591.2017.05.002.

董进文，赵迅霞.汉化Oswestry功能障碍指数评价老年腰椎间盘突出症介入治疗术后疗效［J］.西部医学，2013，25（4）：623-624.doi：10.3969/j.issn.1672-3511.2013.04.052http://dx.doi.org/10.3969/j.issn.1672-3511.2013.04.052.

Faiz KW.VAS--visual analog scale［J］.Tidsskr Nor Laegeforen，2014，134（3）：323.doi：10.4045/tidsskr.13.1145http://dx.doi.org/10.4045/tidsskr.13.1145.

JrWare JE，Sherbourne CD.The MOS 36-item short-form health survey （SF-36）.I.Conceptual framework and item selection［J］.Med Care，1992，30（6）：473-483.

高速，葛胜辉，权正学，等.经伤椎椎弓根螺钉内固定联合椎体成形术治疗重度胸腰椎骨质疏松性椎体压缩骨折［J］.中华创伤杂志，2016，32（9）：777-782.doi：10.3760/cma.j.issn.1001-8050. 2016.09.003http://dx.doi.org/10.3760/cma.j.issn.1001-8050.2016.09.003.

王强，张骏，王天，等.经皮椎体成形术治疗骨质疏松性椎体压缩骨折的临床疗效及术后邻近椎体骨折的危险因素分析［J］.现代生物医学进展，2021，21（21）：4095-4099.doi：10.13241/j.cnki.pmb.2021.21.020http://dx.doi.org/10.13241/j.cnki.pmb.2021.21.020.

刘金龙，张洪磊，张志，等.经皮椎体成形术并发骨水泥肺栓塞的研究进展［J］.实用骨科杂志，2021，27（8）：724-727.doi：10.13795/j.cnki.sgkz.2021.08.011http://dx.doi.org/10.13795/j.cnki.sgkz.2021.08.011.

Hu PL，Lin JS，Meng H，et al.A novel "three-dimensional-printed individual guide template-assisted percutaneous vertebroplasty" for osteoporotic vertebral compression fracture：a prospective，controlled study［J］.J Orthop Surg Res，2021，16（1）：326.doi：10.1186/s13018-021-02471-whttp://dx.doi.org/10.1186/s13018-021-02471-w.

曹臣，陈书连，高延征，等.3D打印辅助经皮椎体成形术治疗老年重度骨质疏松性椎体压缩骨折［J］.中华创伤杂志，2018，34（9）：799-805.doi：10.3760/cma.j.issn.1001-8050.2018.09.006http://dx.doi.org/10.3760/cma.j.issn.1001-8050.2018.09.006.

林吉生，胡佩伦，费琦，等.基于术前3D打印导板辅助的经皮椎体成形术新技术及治疗单节段骨质疏松性椎体压缩骨折［J］.国际外科学杂志，2018，45（11）：765-768.doi：10.3760/cma.j.issn.1673-4203.2018.11.011http://dx.doi.org/10.3760/cma.j.issn.1673-4203.2018.11.011.

常丽鹏，申军，赵敏，等.3D打印数字技术辅助经皮穿刺椎体成形术治疗重度骨质疏松性椎体压缩骨折的临床效果［J］.安徽医学，2019，40（12）：1327-1331.doi：10.3969/j.issn.1000-0399. 2019.12.007http://dx.doi.org/10.3969/j.issn.1000-0399.2019.12.007.

李鹏飞，康小彪，邢政伟，等.3D打印技术辅助PVP治疗老年骨质疏松性椎体压缩骨折［J］.中国骨与关节损伤杂志，2020，35（11）：1173-1175.doi：10.7531/j.issn.1672-9935.2020.11.017http://dx.doi.org/10.7531/j.issn.1672-9935.2020.11.017.

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