Clinical efficacy of PVP and PKP in the treatment of OVCFs after bilateral resection of ovarian cancer

Abstract

The clinical efficacy of percutaneous vertebroplasty (PVP) and percutaneous kyphoplasty (PKP) in the treatment of osteoporotic vertebral compression fractures after bilateral resection of ovarian cancer was investigated. Eighty-six patients with osteoporotic vertebral compression fractures after bilateral resection of ovarian cancer admitted to the Second People's Hospital of Hefei from September, 2015 to August, 2016 were selected and randomly divided into control group (n=43) and observation group (n=43). The control group was treated with PVP, while the observation group received PKP. The operation time, fluoroscopy times, bone cement volume and leakage rate of patients in the two groups were recorded; the postoperative pain of patients was compared using Short-form McGill Pain Questionnaire; the changes in height of injured vertebra and Cobb angle of patients in two groups were compared; the efficacy of patients in the two groups was compared in accordance with Oswestry dysfunction index (ODI) and Japanese Orthopedic Association (JOA) low back pain scoring; and the quality of life was compared. The fluoroscopy times and bone cement leakage were significantly less in observation group than those in control group (P<0.05). After operation, the scores of ODI, MPQ and JOA in the two groups were significantly improved (P<0.05). The postoperative height of injured vertebra and the Cobb angle of patients in two groups were significantly different than those before the operation (P<0.05). The quality of life of patients in the observation group was higher than that in the control group one year after operation (P<0.05). In conclusion, PKP and PVP are effective in the treatment of osteoporotic vertebral compression fractures after bilateral resection of ovarian cancer; however, PKP is more conducive to lumbar stability and maintenance of intervertebral height thus greatly correcting the kyphosis, which is beneficial to improving the quality of life of patients.

Effectiveness of Tirobot-assisted vertebroplasty in treating thoracolumbar osteoporotic compression fracture

“…The reason that we only tested the efficacy of Tirobot in the later is that the procedures in this surgery, like pinpointing entry point of the needle, should be performed with high-precision biopsy and can be resolved by a robot. Besides, between the two modes of vertebroplasty, PKP has higher safety and better prognosis than percutaneous vertebroplasty (PVP) [ 27 – 29 ]. In clinical practice, PVP needs less time.…”

Effectiveness of Tirobot-assisted Vertebroplasty in Treating Thoracolumbar Osteoporotic Compression Fracture

“…The reason that we only tested the e cacy of Tirobot in the later is that the procedures in this surgery, like pinpointing entry point of the needle, should be performed with high precision in biopsy and can be resolved by a robot. Besides, between the two modes of vertebroplasty, PKP has higher safety and better prognosis than percutaneous vertebroplasty (PVP) [29][30][31]. In clinical practice, PVP needs less time.…”

Risk factors of postoperative bone cement leakage on osteoporotic vertebral compression fracture: a retrospective study

“…In our study, the risk factors of type-B, type-C, and type-S leakage were reported, respectively. Bone cement dispersion-type is diffuse, which is a risk factor for types B and S. Most scholars focus on the relationship between bone cement morphology and recurrent fracture after the operation of injured vertebrae [ 21 ]. However, there are a lack of reports on the relationship between bone cement morphology and bone cement leakage [ 22 ].…”