Comparison of the efficacy of bilateral approach PVP and lateral hole injection combined with modified fluoroscopic unilateral approach PVP in the treatment of thoracolumbar osteoporotic fractures

作者：Jianmin Yuan, Fu Jianguo, Ma Nengfeng, Wu Xingjing, Xie Jiabing, Tao Zhoushan, Cheng Wenjing, Lu Jingshun · 发表于：BMC Surgery · 年份：2025 · DOI：10.1186/s12893-025-02985-8 · 被引用次数：3 · 研究领域：Spinal Fractures and Fixation Techniques、Hip and Femur Fractures、Pelvic and Acetabular Injuries

OBJECTIVE: To compare the clinical efficacy of bilateral approach PVP and lateral injection combined with modified fluoroscopic unilateral approach PVP in the treatment of thoracolumbar osteoporotic fractures. METHODS: The clinical data of 100 patients with thoracolumbar osteoporotic fractures who received treatment in our hospital from January 2018 to January 2021 were retrospectively collected. According to the different surgical methods, group A included 48 patients who received bilateral approach PVP. Group B was composed of 52 patients who received lateral injection combined with modified fluoroscopy. General data, intraoperative data, and postoperative follow-up data of the two groups of patients were collected and statistically analyzed. RESULTS: There was no significant difference in the general data between the two groups (P > 0.05), and the two groups were comparable. In terms of intraoperative data, the operation time of group B was shorter than that of group A, and the difference was statistically significant (P < 0.05). The number of intraoperative fluoroscopies in group B was less than that in group A, the difference was statistically significant (P < 0.05), while patients in group A had a higher bone cement leakage rate, and the difference was statistically significant (P < 0.05). In terms of postoperative follow-up, there was no statistically significant difference in VAS and ODI scores 1 day before surgery between the two groups (P > 0.05), and statistically ...