Analysis on the Effect of Different Surgical Methods on the Treatment of Senile Osteoporotic Spinal Compression Fractures and the Influencing Factors of Complications

Abstract

Osteoporotic fractures are a common type of fractures in the elderly, among which spinal compression fractures are more common. After the occurrence of fractures, due to the compression and burst of the vertebral body, this will lead to local kyphosis deformity and even affect the balance of the sagittal spine. In the past, conservative treatments were used for osteoporotic spinal compression fractures. Although it can relieve pain symptoms, it can easily lead to complications such as aggravation of osteoporosis and deep vein thrombosis of the lower extremities. At present, percutaneous vertebroplasty (PVP) and percutaneous kyphoplasty (PKP) are the main clinical surgical treatments, both of which are minimally invasive surgery, short operation time, effective pain relief, and rapid postoperative recovery. Although both of them are effective, there is still controversy over the efficacy of both in the treatment of osteoporotic spinal compression fractures. The purpose of this study was to investigate the efficacy of PVP and PKP in the treatment of elderly osteoporotic spinal compression fractures and to analyze the related factors that affect the occurrence of postoperative complications. The results show that both PVP and PKP can effectively improve the pain and dysfunction of elderly patients with osteoporotic spinal compression fracture, restoration of vertebral height, and correct kyphosis, but PKP has better effect and higher safety and is worth promoting. Postoperative complications of patients are related to their age, bone mineral density, use of hormones, and antiosteoporosis treatment.

Percutaneous kyphoplasty with or without posterior pedicle screw fixation for the management of severe osteoporotic vertebral compression fractures with nonunion

“…For sOVCF with nonunion and patients with nerve canal symptoms, whether vertebral canal decompression is required depending on the degree of neurological symptoms and convex corrected after preoperative stenosis can be improved. Patients with sOVCF with nonunion is frequently the result of anterior flange height loss, collapse of the anterior column, and vertebral strength instability caused by relative stenosis [ 30 ]. The contraction of the posterior longitudinal ligament and the ligamentum flavum can be restored after restoring the height of the anterior margin of the vertebral body and correcting the kyphosis angle, and the spinal stenosis can be effectively improved.…”

Application of machine learning in prediction of bone cement leakage during single-level thoracolumbar percutaneous vertebroplasty

“…Severe kyphosis may result in symptoms of nerve or spinal cord compression. PVP surgery can treat kyphosis to some extent [26]. Some researchers believe that thoracolumbar kyphosis is a risk factor for bone cement leakage in PVP.…”

Post-operative complications in patients with distal radius fractures

“…Multivariate logistic analysis showed that age, AO classification, operation method, and postoperative exercise time were independent factors influencing the prognosis of distal radius fractures. The reason is that the older the patient, the more serious the calcium loss in the body, the osteoporosis, and the worse the body function and recovery function, and other complications often occur after treatment, which greatly increases the complexity, thus leading to a poor prognosis [25][26][27] . Patients with different AO classifications have different surgical difficulties.…”