Implementing an Optimized Perioperative Strategy for Percutaneous Vertebroplasty: Clinical Application and Outcome...

Area of Science:

• Minimally Invasive Surgery
• Orthopedics
• Geriatric Medicine

Background:

• Osteoporotic vertebral compression fractures (OVCF) are common, leading to pain and disability.
• Percutaneous vertebroplasty (PVP) is a standard treatment, but optimizing recovery is crucial.
• Enhanced Recovery After Surgery (ERAS) protocols aim to improve patient outcomes and reduce hospital stay.

Purpose of the Study:

• To evaluate the clinical effectiveness of an optimized perioperative management strategy based on ERAS in patients undergoing PVP for OVCF.
• To compare postoperative recovery metrics between patients managed with the ERAS strategy and those receiving traditional care.

Main Methods:

• A retrospective cohort study of 301 patients with OVCF undergoing PVP from May 2022 to April 2024.
• Patients were divided into a traditional care group (155) and an ERAS group (146) based on implementation time.
• Key outcomes measured included pain scores (VAS), Oswestry Disability Index (ODI), first ambulation time, length of stay (LOS), and complications.

Main Results:

• The ERAS group showed significantly lower VAS pain scores at 2 and 4 hours postoperatively.
• Patients in the ERAS group had earlier first ambulation, shorter total and postoperative LOS, and reduced rehydration volume.
• No significant differences were found in preoperative/late postoperative pain, ODI scores, or complication rates between groups.

Conclusions:

• An optimized perioperative management strategy based on ERAS significantly improves early pain relief and functional recovery after PVP for OVCF.
• The ERAS approach leads to reduced length of hospital stay and earlier mobilization.
• This strategy enhances perioperative clinical outcomes for patients with OVCF undergoing PVP.