Effect of vesselplasty in the treatment of osteoportic vertebral compression fractures

Objective:To evaluate the clinical efficacy of vesselplasty in the treatment of thoracolumbar osteoporotic vertebral compression fractures.Methods:The clinical data of 60 patients with osteoporotic vertebral compression were retrospectively analyzed.According to the surgical procedures,the patients were divided into the observation group(treated with vesselplasty) and control group(treated with traditional kyphoplasty)(30 cases each group).Two groups were followed up for 4-12 months.The operation condition,scores of VAS and ODI,anterior vertebral body height,Cobb angle and bone cement leakage between two groups were compared.Results:The differences of the intraoperative bleeding and operation time between two groups were not statistically significant(P>0.05).The differences of the scores of VAS and ODI at all time-point between two groups were not statistically significant(P>0.05),and the scores of VAS and ODI in two groups after 24 h of operation and at the end of following up were significantly lower than those before operation(P<0.01).The differences of the anterior vertebral body height and Cobb angle between two groups at the same time-point were not statistically significant(P>0.05).The average correction value of Cobb angle in observation group and control group were (6.8±3.5)° and (7.9±3.1)°,respectively,and the difference of which was not statistically significant(P>0.05).The differences of the anterior vertebral body height and Cobb angle in two groups between before operation,and after 24 h of operation and at the end of following up were statistically significant(P<0.01).The bone cement leakage was not found in observation group,the bone cement leakage rate in control group was 22.6%(7/31),and the difference of which between two groups was statistically significant(P<0.05).Conclusions:The treatment of thoracolumbar osteoporotic vertebral compression fractures with vesselplasty is safe and effective,which can avoid the cement leakage,especially in the fractures with posterior wall damage.