The value and safety of percutaneous vertebroplasty (PVP) for spinal compression fractures with the aid of G-arm fluoroscopy

经皮椎体成形术(PVP)在G臂透视辅助下治疗脊柱压缩性骨折的价值和安全性

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Abstract

BACKGROUND: This study investigated the clinical value and safety of G-arm fluoroscopy-assisted percutaneous vertebroplasty in treating spinal compression fractures with vertebral posterior wall destruction. METHODS: 68 patients were divided into a study group (37 patients) and a control group (31 patients). The study group was treated with percutaneous vertebroplasty assisted by G-arm machine, and the control group was treated with percutaneous vertebroplasty assisted by C-arm machine. RESULTS: At 5 days after operation, there was significant difference between the two groups, and the control group was smaller than the study group. Oswestry disability index (ODI) ODI and Visual analogue scale (VAS) scores of the two groups were significantly lower than those before operation, and ODI and VAS scores of the control group were significantly lower than those of the study group at 5 days after operation. In the control group, bone cement spread to bilateral upper and lower endplates in 21 segments, and bone cement injection volume, which was significantly higher than that in the study group. The operation time of the control group was longer than that of the study group, the above differences were statistically significant (P<0.05). CONCLUSION: G-arm fluoroscopy-assisted percutaneous vertebroplasty can effectively relieve pain symptoms, improve postoperative function, and result in minimal surgical trauma with faster recovery.

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