Curative effect contrast of single perfusion and temperature gradient perfusion in PKP treatment of osteoporotic vertebral compression fractures

YANG Han-shi; LU Xiao-qing; CAO Han-qi

doi:10.11659/jjssx.12E023018

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Curative effect contrast of single perfusion and temperature gradient perfusion in PKP treatment of osteoporotic vertebral compression fractures

Clinical Research | 更新时间：2025-01-21

- Curative effect contrast of single perfusion and temperature gradient perfusion in PKP treatment of osteoporotic vertebral compression fractures
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 34, Issue 2, Pages: 117-120(2025)
- 作者机构：
  
  徐州医科大学附属淮安医院/淮安市第二人民医院骨科，江苏淮安 223022
- 作者简介：
- 基金信息：
- DOI：10.11659/jjssx.12E023018
  CLC： R683.2
- Published：25 February 2025，
  
  Received：05 December 2023，
- 稿件说明：
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YANG HAN-SHI, LU XIAO-QING, CAO HAN-QI. Curative effect contrast of single perfusion and temperature gradient perfusion in PKP treatment of osteoporotic vertebral compression fractures. [J]. Journal of regional anatomy and operative surgery, 2025, 34(2): 117-120.
DOI：

YANG HAN-SHI, LU XIAO-QING, CAO HAN-QI. Curative effect contrast of single perfusion and temperature gradient perfusion in PKP treatment of osteoporotic vertebral compression fractures. [J]. Journal of regional anatomy and operative surgery, 2025, 34(2): 117-120. DOI： 10.11659/jjssx.12E023018.

摘要

目的

对比单次灌注技术和温度梯度灌注技术在球囊扩张经皮椎体后凸成形术（PKP）治疗骨质疏松性椎体压缩性骨折中的应用效果。

方法

选取我院行PKP的骨质疏松性椎体压缩性骨折患者116例，按照骨水泥灌注方法的不同将其分为单次灌注组（

=57）和温度梯度灌注组（

=59）。对比2组患者围术期指标、疼痛视觉模拟量表（VAS）评分、Oswestry功能障碍指数（ODI）评分、影像学指标和骨水泥渗漏发生率。

结果

温度梯度灌注组患者的骨水泥注入量少于单次灌注组（

0.05）；2组患者手术时间、术中出血量、术中透视次数比较，差异无统计学意义（

0.05）。温度梯度灌注组患者术后1周的VAS、ODI评分均低于单次灌注组（

0.05）。2组患者术后1周、末次随访时的伤椎前缘相对高度均较术前增加（

0.05），Cobb角均较术前减小（

0.05）。温度梯度灌注组骨水泥渗漏率低于单次灌注组（

0.05）。

结论

温度梯度灌注技术应用于PKP治疗骨质疏松性椎体压缩性骨折，可获得与单次灌注技术相当的手术治疗效果，同时温度梯度灌注技术可减少骨水泥注入量，降低骨水泥渗漏率，减轻术后疼痛。

Abstract

Objective

To compare the application effect of single perfusion technique and temperature gradient perfusion technique in balloon dilatation percutaneous kyphoplasty （PKP） in the treatment of osteoporotic vertebral compression fractures.

Methods

A total of 116 patients with osteoporotic vertebral compression fracture who underwent PKP in our hospital were selected and divided into the single perfusion group （

=57） and the temperature gradient perfusion group （

=59） according to different bone cement perfusion methods.The perioperative indicators， pain visual analogue scale （VAS） scores， Oswestry dysfunction index （ODI） scores， imaging indicators and incidence of bone cement leakage were compared between the two groups.

Results

The amount of bone cement injection of patients in the temperature gradient perfusion group was less than that in the single perfusion group （

0.05）. There was no si

gnificant difference in operation time， intraoperative blood loss or intraoperative fluoroscopy times of patients between the two groups （

0.05）.The VAS and ODI scores of patients in the temperature gradient perfusion group were lower than those in the single perfusion group 1 week after operation （

0.05）.At 1 week after operation and the last follow-up，the relative height of the anterior edge of the injured vertebrae in both groups were higher than those before operation （

0.05）， and the Cobb angle were smaller than those before operation （

0.05）. The incidence of bone cement leakage in the temperature gradient perfusion group was lower than that in the single perfusion group （

0.05）.

Conclusion

The application of temperature gradient perfusion technique in PKP for the treatment of osteoporotic vertebral compression fractures can achieve the same surgical treatment effect as single perfusion technique， and temperature gradient perfusion technique can reduce the amount of bone cement injection， reduce the incidence of bone cement leakage， and alleviate postoperative pain.

关键词

温度梯度灌注球囊扩张经皮椎体后凸成形术单次灌注骨质疏松性椎体压缩性骨折疗效

Keywords

temperature gradient perfusionballoon dilatation percutaneous kyphoplastysingle perfusionosteoporotic vertebral compression fracturescurative effect

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