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Vesselplasty for the treatment of osteoporotic vertebral compression fractures with peripheral wall damage: a
Jiguang Chen1, Chongqing Xu2, Jiangming Yu1
1Department of Orthopaedics, Changzheng Hospital, Second Military Medical University, Shanghai, PR China.
Insights
Vesselplasty offers a safer alternative for treating osteoporotic vertebral compression fractures (OVCF), reducing bone cement leakage and improving vertebral height and kyphosis. This technique shows significant clinical value for OVCF with peripheral wall damage.
Area of Science:
- Orthopedic surgery
- Spinal interventions
- Biomaterials in medicine
Background:
- Vertebroplasty and kyphoplasty are common treatments for osteoporotic vertebral compression fractures (OVCF).
- These procedures have limitations including bone cement leakage (BCL), incomplete kyphosis correction, and inadequate vertebral height restoration.
- Vesselplasty has emerged as an alternative to address these shortcomings.
Purpose of the Study:
- To evaluate the clinical efficacy and application value of vesselplasty for treating OVCF.
- Specifically assess outcomes in patients with peripheral wall damage.
Main Methods:
- A retrospective study of 62 patients (70 vertebrae) treated with vesselplasty for OVCF with peripheral wall damage.
- Data collected included operation time, bone cement volume, complications, visual analog scale (VAS), Oswestry disability index (ODI), vertebral body height, and kyphosis Cobb angle.
Main Results:
- A low rate of bone cement leakage (4.3%) was observed.
- Significant improvements in VAS and ODI scores post-procedure (p < 0.05).
- Significant restoration of vertebral body height and correction of kyphosis (p < 0.05).
Conclusions:
- Vesselplasty demonstrates a reduced risk of BCL and better bone cement control in OVCF treatment.
- The procedure effectively relieves pain, restores vertebral height, and corrects kyphosis, particularly in cases with peripheral wall damage.
- Vesselplasty is a safe and clinically valuable option for OVCF management.
Study Design:
A retrospective study.
Objective:
The clinical efficacy of vertebroplasty and kyphoplasty treating osteoporotic vertebral compression fractures (OVCF) has been widely recognized in recent years. However, there are also disadvantages of bone cement leakage (BCL), limited correction of kyphosis and recovery of vertebral height. Nowadays, in view of these shortcomings, vesselplasty has been widely used in clinical practice. The objective of this study is to assess its clinical effect and application value for the treatment of OVCF with peripheral wall damage.
Methods:
62 patients (70 vertebrae) treated for OVCF with peripheral wall damage using vesselplasty retrospectively reviewed. The data collection included operation time, volume of bone cement, relevant surgical complications, visual analog scale (VAS), Oswestry disability index (ODI), vertebral body height and kyphosis Cobb angle.
Results:
The volume of bone cement was 3-8 (5.3 ± 1.3) ml. There were 3 vertebrae of BCL (4.3%). VAS and ODI at different time points after operation were decreased compared with before operation (all p < 0.05). There were no statistical differences between VAS or ODI at different postoperative time points (p > 0.05). Vertebral body height and Cobb angle at different time points after operation were improved compared with before operation (all p < 0.05). There were no statistical differences between vertebral body height or Cobb angle at different postoperative time points (all p > 0.05).
Conclusions:
Vesselplasty may reduce the risk of BCL and better control the dispersion of bone cement in the treatment of OVCF. It relieves pain, restores vertebral body height and corrects kyphosis, especially in OVCF with peripheral wall damage. Therefore, vesselplasty is safe and worthy of clinical application.
