28 March 2022 : Clinical Research
A Retrospective Study to Evaluate the Effect of Dynamic Fracture Mobility on Cement Leakage in Percutaneous Vertebroplasty and Percutaneous Kyphoplasty in 286 Patients with Osteoporotic Vertebral Compression Fractures
Hu Ren1AEF, Tao Feng1AEF*, Jianhui Cao1BC, Yaning Hu1BCD, Dahai Yu1CD, Shuo Pan1BCD, Guangqing Yao1EFDOI: 10.12659/MSM.935080
Med Sci Monit 2022; 28:e935080
Table 1 Univariate analysis of risk factors for cement leakage.
| Leakage group (n=46) | No leakage group (n=240) | t/χ2 | P value | |
|---|---|---|---|---|
| Age (years) | 71.93±8.49 | 73.05±7.84 | 0.872 | 0.384 |
| Sex | ||||
| Male | 8 | 46 | ||
| Female | 38 | 194 | 0.079 | 0.778 |
| Fracture duration (weeks) | 3.59±1.83 | 3.57±1.81 | 0.055 | 0.956 |
| Bone mineral density (T score) | −3.48±0.57 | −3.50±0.55 | 0.293 | 0.770 |
| Dynamic fracture mobility | ||||
| Mobile | 35 (30.17%) | 81 (69.83%) | ||
| Fixed | 11 (6.47%) | 159 (93.53%) | 28.699 | <0.001 |
| Operative approach | ||||
| PVP | 32 (20.51%) | 124 (79.49%) | ||
| PKP | 14 (10.77%) | 116 (89.23%) | 4.988 | 0.026 |
| Spinal segment of fracture | ||||
| Thoracic (T4–T10) | 13 | 73 | ||
| Thoracolumbar (T11–L2) | 28 | 146 | ||
| Lumbar (L3–L5) | 5 | 21 | 0.250 | 0.882 |
| Peripheral vertebrae wall | ||||
| Damaged | 29 (49.15%) | 30 (50.85%) | ||
| Undamaged | 17 (7.49%) | 210 (92.51%) | 60.226 | <0.001 |
| Intravertebral cleft | ||||
| Exist | 26 (35.14%) | 48 (64.86%) | ||
| No exist | 20 (9.43%) | 192 (90.57%) | 26.845 | <0.001 |
| Cement volume injected (ml) | 5.17±1.24 | 4.16±1.49 | 4.330 | <0.001 |
| Preoperative vertebral height (%) | 57.24±17.85 | 59.56±18.83 | 0.773 | 0.440 |
| Preoperative kyphotic angle (°) | 17.07±14.77 | 19.81±14.00 | 1.209 | 0.228 |
| PVP – percutaneous vertebroplasty; PKP – percutaneous kyphoplasty. Continuous variables were expressed as mean±standard deviation and were compared using the test. Categorical variables were expressed as counts and were analyzed using the χ test. | ||||