Clinical efficacy of unilateral puncture and bilateral puncture PKP surgery on osteoporotic vertebral compression fractures

Objective To investigate the effect of percutaneous unilateral puncture and bilateral puncture of kyphoplasty (PKP) on osteoporotic vertebral compression fractures. Methods A total of 59 cases of osteoporotic vertebral compression fracture were selected and divided into the observation group (29 cases) and in the control group 30 cases according to the random number table method, and the two groups were treated by PKP, the observation group was operated by percutaneous unilateral puncture, the control group was treated by percutaneous bilateral puncture, the clinical efficacy of the two groups was compared. Results The operation time of each vertebral body and the injection volume of bone cement in observation group were significantly lower than those in control group (P 0.05). At 1 week, 6 months and 12 months after surgery, the VAS scores of the two groups were significantly decreased, and the anterior border height of the vertebral body was significantly increased, there were significant differences compared with the preoperative (P 0.05). There was no significant difference in the incidence of bone cement leakage between the observation group (13.8%) and the control group (20.0%) (P>0.05). No adjacent vertebral fractures occurred in the observation group and the incidence was 20.0% in the control group, the difference was significant (P<0.05). Conclusions Unilateral puncture and bilateral puncture PKP in the treatment of tosteoporoticcvertebral compression fractures, can effectively relieve the pain symptoms, and promote the recovery of the anterior edge of vertebral body, the clinical efficacy is similar. Compared with bilateral puncture surgery, the time of unilateral puncture operation is short, bone cement injection volume is small, the incidence of adjacent vertebral fracture is small, so it have higher clinical application value. Key words: Osteoporotic vertebral compressibility fracture; Posterior kyphoplasty; Pain; Vertebral anterior height