Treatment of Kümmell’s disease with sequential infusion of bone cement:A retrospective study  

作　　者：Xing Zhang Yong-Chao Li Hong-Peng Liu Bing Zhou Hui-Lin Yang 

机构地区：[1]Department of Orthopaedics,The First Affiliated Hospital of Soochow University,Suzhou 215006,Jiangsu Province,China [2]Department of Orthopaedics,Gaoyou People’s Hospital Affiliated to Soochow University,Yangzhou 225600,Jiangsu Province,China [3]Department of Spinal Surgery,Shanghai East Hospital,Tongji University School of Medicine,Shanghai 200120,China

出　　处：《World Journal of Clinical Cases》2020年第23期5887-5893,共7页世界临床病例杂志

摘　　要：BACKGROUND Percutaneous vertebroplasty(PVP)is an effective method for the treatment of neurologically intact Kümmell’s disease,but bone cement leakage during surgery is a problem that deserves attention.AIM To reduce bone cement leakage and evaluate the effect of the sequential infusion of bone cement during PVP for the treatment of stage I or II Kümmell’s disease.METHODS Patients with Kümmell’s disease treated in our hospital from September 2015 to September 2018 were retrospectively analyzed.Patients meeting the inclusion and exclusion criteria were divided into two groups:Traditional single infusion and sequential infusion(SI).The visual analog scale(VAS)and Oswestry disability index(ODI)were evaluated and compared,and duration of operation,bone cement content and complications were recorded.RESULTS Forty-five patients were included in this study;there were 24 in the traditional single infusion group and 21 in the SI group.The VAS and ODI were significantly different for both groups when compared pre-and postoperatively,whereas the differences between 1 wk postoperatively and at the final follow-up were not statistically.When the VAS and ODI of the two groups were compared,there were no significant differences at any time point.The leakage rate of bone cement was significantly lower in the SI group(14.3%,3 of 21)than that in the traditional single infusion group(41.7%,10 of 24).CONCLUSION SI in unipedicular PVP is a safe and effective procedure for neurologically intact Kümmell’s disease,and this technique could decrease the incidence of bone cement leakage.

关 键 词：Kümmell’s Disease Percutaneous vertebroplasty Bone cement leakage Back pain OSTEOPOROSIS Intravertebral vacuum cleft 

分 类 号：R687.3[医药卫生—骨科学]