Combined Application of Grid Body Surface Locator and Preemptive Analgesia in Daytime Vertebroplasty

Gu, Hongwen; Zhao, Yi; Xie, Yanchun; Wei, Yongcun; Li, Linyang; Meng, Di; Yu, Hailong

doi:10.1155/2022/2651062

Cited by 1 publication

(2 citation statements)

References 23 publications

(26 reference statements)

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“…In previous studies, preoperatively designed PVP involved less radiation, a shorter operation and fewer complications than traditional PVP [14,15]. Our previous research has also indicated that unilateral PKP using a novel 3D-printed guide device is a safe and effective technique for OVCFs [21].…”

Section: Discussionmentioning

confidence: 90%

“…However, these technologies are expensive and/or have high technical requirements; thus, they cannot be widely used in primary hospitals. We have given much attention to the preoperative planning [14,15] and 3D printing technologies [16][17][18][19][20] used in percutaneous vertebroplasty (PVP)/PKP, and previous studies have shown that PVP with preoperative puncture design is not only reasonably safe and effective for OVCFs but also involves less radiation, shorter operation times and fewer complications than traditional PVP [14,15]. Our research has indicated that unilateral puncture using a novel 3D-printed guide device is a safe and effective technique for OVCFs and is associated with fewer intraoperative fluoroscopy exposures and shorter operation times [21].…”

Section: Introductionmentioning

confidence: 99%

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O-Arm- and Guide-Device-Assisted Personalized Percutaneous Kyphoplasty for Thoracolumbar Osteoporotic Vertebral Compression Fractures

Wang

Zheng

et al. 2023

JPM

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With the ageing of the global population, the incidence of osteoporotic vertebral compression fractures (OVCFs) is increasing. To assess the safety and efficacy of O-arm- and guide-device-assisted personalized percutaneous kyphoplasty (PKP) for treating thoracolumbar OVCFs, a total of 38 consecutive thoracolumbar OVCF patients who underwent bilateral PKP assisted with an O-arm and a guide device (O-GD group, n = 16) or traditional fluoroscopy (TF group, n = 22) from January 2020 to December 2021 were retrospectively reviewed, and their epidemiologic, clinical and radiological outcomes were analysed. The operation time was significantly decreased (p < 0.001) in the O-GD group (38.3 ± 12.2 min) compared with the TF group (57.2 ± 9.7 min). The number of intraoperative fluoroscopy exposures was significantly decreased (p < 0.001) in the O-GD group (31.9 ± 4.5) compared with the TF group (46.7 ± 7.2). Intraoperative blood loss was significantly decreased (p = 0.031) in the O-GD group (6.9 ± 2.5 mL) compared with the TF group (9.1 ± 3.3 mL). No significant difference (p = 0.854) in the volume of injected cement was observed between the O-GD group (6.8 ± 1.3 mL) and the TF group (6.7 ± 1.7 mL). Both the clinical and radiological outcomes, including the visual analogue scale score for pain, Oswestry Disability Index and anterior height and local kyphotic angle of the fractured vertebrae, were significantly improved at the postoperative and final follow-up but did not differ between the two groups. The incidence of cement leakage and refracture of the vertebral body was similar in the two groups (p = 0.272; p = 0.871). Our preliminary study demonstrated that O-GD-assisted PKP is a safe and effective procedure that presents a significantly shorter operation time, fewer intraoperative fluoroscopy exposures and less intraoperative blood loss than the TF technique.

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Section: Discussionmentioning

confidence: 90%