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 Ren AEF , Tao Feng AEF* , Jianhui Cao BC , Yaning Hu BCD , Dahai Yu CD , Shuo Pan BCD , Guangqing Yao EFDOI: 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 | |
| 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 | |
| Intravertebral cleft | ||||
| Exist | 26 (35.14%) | 48 (64.86%) | ||
| No exist | 20 (9.43%) | 192 (90.57%) | 26.845 | |
| Cement volume injected (ml) | 5.17±1.24 | 4.16±1.49 | 4.330 | |
| 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. | ||||