Abstract：Objective To explore the feasibility and clinical efficacy of gelatin sponge packing in reducing bone cement leakage in percutaneous kyphoplasty (PKP). Methods A retrospective case-control study was conducted in data of 171 patients (171 vertebrae) with monosegmental lumbar osteoporosis compressive fracture treated by PKP from January 2015 to December 2018 in Sichuan Orthopedic Hospital. There were 66 males and 105 females, with the age of (67.9±6.7)years (range, 60-87 years). There were 22 patients with T10 fracture, 28 with T11 fracture, 37 with T12 fracture, 34 with L1 fracture, 32 with L2 fracture and 18 with L3 fracture. A total of 80 patients were prefilled with gelatin sponge before injection (Group A), and 91 patients were not filled with gelatin sponge before injection (Group B). The operation time, amount of bone cement, and rate of bone cement leakage were recorded. The change of anterior vertebral height, Cobb angle, visual simulation score (VAS) and Oswestry disability index (ODI) were compared before operation and at postoperative 1 day, 3 months, 6 months,12 months. Results All patients were followed up for 1-12 months ［(12.8±0.6）months］. The operation time in Group A and B was (48.3±1.2)minutes and (42.3±1.3)minutes (P<0.05). The amount of bone cement in Group A and B was (5.4±0.8)ml and (5.6±0.7)ml (P>0.05). The incidence of bone cement leakage in Group A and B was 11% (9/80) and 26% (24/91) (P<0.05). There was no significant difference between the two groups in the anterior height of injured vertebrae, change of Cobb angle, VAS and ODI before and after operation (P>0.05). Conclusion Gelatin sponge can reduce the rate of bone cement leakage in PKP for the treatment of thoracolumbar osteoporosis compressive fracture, and has similar effect with PKP in correcting kyphosis, alleviating pain and improving life quality.
崔伟 熊小明 万趸 石华刚 顾韬 邓轩赓. 经皮椎体后凸成形术中使用明胶海绵减少骨水泥渗漏的可行性及临床疗效[J]. 中华创伤杂志, 2020, 36(10): 899-904.
Cui Wei, Xiong Xiaoming, Wan Dun, Shi Huagang, Gu Tao, Deng Xuangeng.. Feasibility and clinical effect of gelatin sponge in reducing bone cement leakage in percutaneous kyphoplasty
. CHINESE JOURNAL OF TRAUMA, 2020, 36(10): 899-904.
