The clinical effect of different vertebral body height restoration rates after percutaneous kyphoplasty for osteoporotic vertebral compression fractures

This study aimed to evaluate the clinical effect of different vertebral body heights restoration rate after percutaneous kyphoplasty (PKP) for the treatment of osteoporotic vertebral compression fractures (OVCF). The patients were divided into two groups according to the height restoration rate of t...

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Published in:BMC musculoskeletal disorders 2024-09, Vol.25 (1), p.711-9, Article 711
Main Authors: Gu, Xiaolan, Li, Jiarong, Wu, Shenghong, Yuan, Lijie, Qu, Luqiang, Wang, Yingjie, Yang, Huilin, Yang, Shaofeng, Sun, Chunhua, Zou, Jun
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Backache
Body height
Bone density
Care and treatment
Clinical efficacy
Compression
Correlation analysis
Female
Follow-Up Studies
Fractures
Fractures, Compression - diagnostic imaging
Fractures, Compression - surgery
Humans
Kyphoplasty - methods
Male
Middle Aged
Orthopedic surgery
Osteoporosis
Osteoporotic Fractures - diagnostic imaging
Osteoporotic Fractures - surgery
Osteoporotic vertebral compression fracture
Pain
Patients
Percutaneous kyphoplasty
Polymethyl methacrylate
Postoperative period
Quality of Life
Questionnaires
Retrospective Studies
Spinal Fractures - diagnostic imaging
Spinal Fractures - surgery
Surgery
Surveys
Treatment Outcome
Vertebrae
Vertebral Body - diagnostic imaging
Vertebral Body - surgery
Vertebral height restoration rate
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container_issue 1
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container_title BMC musculoskeletal disorders
container_volume 25
creator Gu, Xiaolan
Li, Jiarong
Wu, Shenghong
Yuan, Lijie
Qu, Luqiang
Wang, Yingjie
Yang, Huilin
Yang, Shaofeng
Sun, Chunhua
Zou, Jun
description This study aimed to evaluate the clinical effect of different vertebral body heights restoration rate after percutaneous kyphoplasty (PKP) for the treatment of osteoporotic vertebral compression fractures (OVCF). The patients were divided into two groups according to the height restoration rate of the anterior edge of the vertebral body fracture after PKP operation using X-Ray imaging. The group A was below 80%, and the group B was above 80%. Clinical preoperative and postoperative efficacy (1st day, 1st month, 6th month, and 12th month after surgery) were evaluated according to VAS, Oswestry Disability Index(ODI), Quality of Life Questionnaire of the European Foundation for Osteoporosis(QUALEFFO), and Back Pain Life Disorder Questionnaire(RQD). Simultaneously, the preoperative and postoperative local Cobb angles and changes in the injured vertebrae in the two groups were calculated and analyzed. The postoperative Cobb angle in group A was significantly higher than that in group B. The correction rate in group B was significantly better than that in group A. The VAS, ODI, QUALEFFO, and RQD scores of group B patients were significantly lower than those of patients in group A at each follow-up time point. The correlation coefficients of vertebral body height restoration rate and VAS, ODI, QUALEFFO, and RQD scores at the last follow-up were - 0.607 (P 
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The patients were divided into two groups according to the height restoration rate of the anterior edge of the vertebral body fracture after PKP operation using X-Ray imaging. The group A was below 80%, and the group B was above 80%. Clinical preoperative and postoperative efficacy (1st day, 1st month, 6th month, and 12th month after surgery) were evaluated according to VAS, Oswestry Disability Index(ODI), Quality of Life Questionnaire of the European Foundation for Osteoporosis(QUALEFFO), and Back Pain Life Disorder Questionnaire(RQD). Simultaneously, the preoperative and postoperative local Cobb angles and changes in the injured vertebrae in the two groups were calculated and analyzed. The postoperative Cobb angle in group A was significantly higher than that in group B. The correction rate in group B was significantly better than that in group A. The VAS, ODI, QUALEFFO, and RQD scores of group B patients were significantly lower than those of patients in group A at each follow-up time point. The correlation coefficients of vertebral body height restoration rate and VAS, ODI, QUALEFFO, and RQD scores at the last follow-up were - 0.607 (P &lt; 0.01), -0.625 (P &lt; 0.01), -0.696 (P &lt; 0.01), and - 0.662 (P &lt; 0.01), respectively. The results of the correlation analysis between the vertebral body height restoration rate and the above clinical efficacy scores show that increasing the vertebral body anterior height restoration rate is beneficial for pain relief and improves the clinical efficacy of patients. 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The Author(s).</rights><rights>COPYRIGHT 2024 BioMed Central Ltd.</rights><rights>2024. This work is licensed under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2024 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c476t-78d7c222232ca6e713cf4512be23258cb9138d928d9853a2a14206488ab5b7993</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11376014/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/3102493836?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39237984$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gu, Xiaolan</creatorcontrib><creatorcontrib>Li, Jiarong</creatorcontrib><creatorcontrib>Wu, Shenghong</creatorcontrib><creatorcontrib>Yuan, Lijie</creatorcontrib><creatorcontrib>Qu, Luqiang</creatorcontrib><creatorcontrib>Wang, Yingjie</creatorcontrib><creatorcontrib>Yang, Huilin</creatorcontrib><creatorcontrib>Yang, Shaofeng</creatorcontrib><creatorcontrib>Sun, Chunhua</creatorcontrib><creatorcontrib>Zou, Jun</creatorcontrib><title>The clinical effect of different vertebral body height restoration rates after percutaneous kyphoplasty for osteoporotic vertebral compression fractures</title><title>BMC musculoskeletal disorders</title><addtitle>BMC Musculoskelet Disord</addtitle><description>This study aimed to evaluate the clinical effect of different vertebral body heights restoration rate after percutaneous kyphoplasty (PKP) for the treatment of osteoporotic vertebral compression fractures (OVCF). The patients were divided into two groups according to the height restoration rate of the anterior edge of the vertebral body fracture after PKP operation using X-Ray imaging. The group A was below 80%, and the group B was above 80%. Clinical preoperative and postoperative efficacy (1st day, 1st month, 6th month, and 12th month after surgery) were evaluated according to VAS, Oswestry Disability Index(ODI), Quality of Life Questionnaire of the European Foundation for Osteoporosis(QUALEFFO), and Back Pain Life Disorder Questionnaire(RQD). Simultaneously, the preoperative and postoperative local Cobb angles and changes in the injured vertebrae in the two groups were calculated and analyzed. The postoperative Cobb angle in group A was significantly higher than that in group B. The correction rate in group B was significantly better than that in group A. The VAS, ODI, QUALEFFO, and RQD scores of group B patients were significantly lower than those of patients in group A at each follow-up time point. The correlation coefficients of vertebral body height restoration rate and VAS, ODI, QUALEFFO, and RQD scores at the last follow-up were - 0.607 (P &lt; 0.01), -0.625 (P &lt; 0.01), -0.696 (P &lt; 0.01), and - 0.662 (P &lt; 0.01), respectively. The results of the correlation analysis between the vertebral body height restoration rate and the above clinical efficacy scores show that increasing the vertebral body anterior height restoration rate is beneficial for pain relief and improves the clinical efficacy of patients. 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Li, Jiarong ; Wu, Shenghong ; Yuan, Lijie ; Qu, Luqiang ; Wang, Yingjie ; Yang, Huilin ; Yang, Shaofeng ; Sun, Chunhua ; Zou, Jun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c476t-78d7c222232ca6e713cf4512be23258cb9138d928d9853a2a14206488ab5b7993</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Backache</topic><topic>Body height</topic><topic>Bone density</topic><topic>Care and treatment</topic><topic>Clinical efficacy</topic><topic>Compression</topic><topic>Correlation analysis</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Fractures</topic><topic>Fractures, Compression - diagnostic imaging</topic><topic>Fractures, Compression - surgery</topic><topic>Humans</topic><topic>Kyphoplasty - methods</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Orthopedic surgery</topic><topic>Osteoporosis</topic><topic>Osteoporotic Fractures - diagnostic imaging</topic><topic>Osteoporotic Fractures - surgery</topic><topic>Osteoporotic vertebral compression fracture</topic><topic>Pain</topic><topic>Patients</topic><topic>Percutaneous kyphoplasty</topic><topic>Polymethyl methacrylate</topic><topic>Postoperative period</topic><topic>Quality of Life</topic><topic>Questionnaires</topic><topic>Retrospective Studies</topic><topic>Spinal Fractures - diagnostic imaging</topic><topic>Spinal Fractures - surgery</topic><topic>Surgery</topic><topic>Surveys</topic><topic>Treatment Outcome</topic><topic>Vertebrae</topic><topic>Vertebral Body - diagnostic imaging</topic><topic>Vertebral Body - surgery</topic><topic>Vertebral height restoration rate</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gu, Xiaolan</creatorcontrib><creatorcontrib>Li, Jiarong</creatorcontrib><creatorcontrib>Wu, Shenghong</creatorcontrib><creatorcontrib>Yuan, Lijie</creatorcontrib><creatorcontrib>Qu, Luqiang</creatorcontrib><creatorcontrib>Wang, Yingjie</creatorcontrib><creatorcontrib>Yang, Huilin</creatorcontrib><creatorcontrib>Yang, Shaofeng</creatorcontrib><creatorcontrib>Sun, Chunhua</creatorcontrib><creatorcontrib>Zou, Jun</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium &amp; 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The patients were divided into two groups according to the height restoration rate of the anterior edge of the vertebral body fracture after PKP operation using X-Ray imaging. The group A was below 80%, and the group B was above 80%. Clinical preoperative and postoperative efficacy (1st day, 1st month, 6th month, and 12th month after surgery) were evaluated according to VAS, Oswestry Disability Index(ODI), Quality of Life Questionnaire of the European Foundation for Osteoporosis(QUALEFFO), and Back Pain Life Disorder Questionnaire(RQD). Simultaneously, the preoperative and postoperative local Cobb angles and changes in the injured vertebrae in the two groups were calculated and analyzed. The postoperative Cobb angle in group A was significantly higher than that in group B. The correction rate in group B was significantly better than that in group A. The VAS, ODI, QUALEFFO, and RQD scores of group B patients were significantly lower than those of patients in group A at each follow-up time point. The correlation coefficients of vertebral body height restoration rate and VAS, ODI, QUALEFFO, and RQD scores at the last follow-up were - 0.607 (P &lt; 0.01), -0.625 (P &lt; 0.01), -0.696 (P &lt; 0.01), and - 0.662 (P &lt; 0.01), respectively. The results of the correlation analysis between the vertebral body height restoration rate and the above clinical efficacy scores show that increasing the vertebral body anterior height restoration rate is beneficial for pain relief and improves the clinical efficacy of patients. Simultaneously, improving the height restoration rate of the anterior edge of the vertebral body and restoring the normal spinal structure is beneficial for reducing the incidence of refracture of the adjacent vertebral body.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>39237984</pmid><doi>10.1186/s12891-024-07773-8</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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subjects Aged
Aged, 80 and over
Backache
Body height
Bone density
Care and treatment
Clinical efficacy
Compression
Correlation analysis
Female
Follow-Up Studies
Fractures
Fractures, Compression - diagnostic imaging
Fractures, Compression - surgery
Humans
Kyphoplasty - methods
Male
Middle Aged
Orthopedic surgery
Osteoporosis
Osteoporotic Fractures - diagnostic imaging
Osteoporotic Fractures - surgery
Osteoporotic vertebral compression fracture
Pain
Patients
Percutaneous kyphoplasty
Polymethyl methacrylate
Postoperative period
Quality of Life
Questionnaires
Retrospective Studies
Spinal Fractures - diagnostic imaging
Spinal Fractures - surgery
Surgery
Surveys
Treatment Outcome
Vertebrae
Vertebral Body - diagnostic imaging
Vertebral Body - surgery
Vertebral height restoration rate
title The clinical effect of different vertebral body height restoration rates after percutaneous kyphoplasty for osteoporotic vertebral compression fractures
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