Related factors affecting kyphotic reduction in osteoporotic vertebral compression fractures by percutaneous balloon kyphoplasty

GE Yu; YU Haiyang; LIANG Chengmin; ZHAI Yunlei; CUI Xilong; ZHENG Guohui; JIANG Jishi

doi:10.16766/j.cnki.issn.1674-4152.003234

Volume 21 Issue 11

Nov. 2023

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Article Navigation > Chinese Journal of General Practice > 2023 > 21(11): 1827-1829, 1927

GE Yu, YU Haiyang, LIANG Chengmin, ZHAI Yunlei, CUI Xilong, ZHENG Guohui, JIANG Jishi. Related factors affecting kyphotic reduction in osteoporotic vertebral compression fractures by percutaneous balloon kyphoplasty[J]. Chinese Journal of General Practice, 2023, 21(11): 1827-1829, 1927. doi: 10.16766/j.cnki.issn.1674-4152.003234

Citation:

GE Yu, YU Haiyang, LIANG Chengmin, ZHAI Yunlei, CUI Xilong, ZHENG Guohui, JIANG Jishi. Related factors affecting kyphotic reduction in osteoporotic vertebral compression fractures by percutaneous balloon kyphoplasty[J]. Chinese Journal of General Practice, 2023, 21(11): 1827-1829, 1927. doi: 10.16766/j.cnki.issn.1674-4152.003234

Citation:

GE Yu, YU Haiyang, LIANG Chengmin, ZHAI Yunlei, CUI Xilong, ZHENG Guohui, JIANG Jishi. Related factors affecting kyphotic reduction in osteoporotic vertebral compression fractures by percutaneous balloon kyphoplasty[J]. Chinese Journal of General Practice, 2023, 21(11): 1827-1829, 1927. doi: 10.16766/j.cnki.issn.1674-4152.003234

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Related factors affecting kyphotic reduction in osteoporotic vertebral compression fractures by percutaneous balloon kyphoplasty

doi: 10.16766/j.cnki.issn.1674-4152.003234

Department of Orthopaedics, Fuyang People' s Hospital of Anhui Medical University, Fuyang People' s Hospital, Anhui Clinical Medical Research Center for Spinal deformity, Fuyang, Anhui 236000, China

Funds:

FK2020081022

AHWJ2021b111

Received Date: 2023-04-07
Available Online: 2024-01-13

Abstract

Abstract

Objective To investigate the relevant factors influencing the improvement of local kyphotic deformity in individuals afflicted with osteoporotic vertebral compression fractures (OVCF) following percutaneous kyphoplasty (PKP) combined with positional reduction intervention. Methods The data of OVCF patients treated with PKP in Fuyang People' s Hospital from March 2019 to January 2021 were retrospectively analyzed. Patients were treated with PKP procedure combined with postural repositioning. Independent variables included gender, age, body mass index, bone mineral density, vertebral segments, vertebral height, fracture duration, and local kyphotic Cobb angle. Correlation analysis and multiple linear regression analysis were employed to discern the factors impacting the enhancement of local kyphotic deformity and to evaluate the predictive efficacy regarding postoperative Cobb angle improvement. Results Statistically significant differences were observed in the local kyphosis cobb angle, VAS score and Oswestry dability index(ODI) scores at the preoperative, postoperative and last follow-up (all P<0.001). There was a significant difference between the postoperative local kyphosis Cobb angle [(10.9±7.4) °] and the preoperative angle [(15.0±7.6) °, P<0.05]. Postoperative VAS and ODI scores showed significant improvement compared to the preoperative scores (all P<0.05). Preoperative vertebral height, bone density, and fracture duration were negatively correlated with the improvement of kyphotic deformity (r=-7.523, -3.406, -0.489, all P<0.05). The local kyphosis Cobb angle (preoperative) was positively correlated with the improvement of postoperative kyphosis deformity (r=0.141, P<0.05), multiple linear regression analysis showed improvement of kyphosis Cobb angle = 5.016-3.406×bone density-7.523×injured vertebral height value (preoperative) + 0.141×local kyphosis Cobb angle (preoperative) -0.489×course of injured vertebral fracture. Conclusion The improvement of kyphosis after PKP is correlated with the preoperative local kyphosis Cobb angle, the height of injured vertebra, bone density, and fracture course, positively correlates with the preoperative local kyphosis Cobb angle, and negatively correlates with the course of fracture, bone density and injured vertebra height.
- Percutaneous kyphoplasty,
- Vertebral compression fractures,
- Kyphosis,
- Osteoporosis,
- Bone density

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References(17)

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