Observation and analysis of PVP treatment of osteoporotic vertebral fracture nonunion

Objective To study the value of percutaneous vertebroplasty (PVP) in nonunion of osteoporotic vertebral fractures (OVCF). Methods Thirty-eight OVC non-union patients were selected for treatment of 46 lesions with PVP. The pain visual analogue scale (VAS) and daily living self-care ability scale (ADL) scores of patients at different time were compared. Results The operation was successfully performed. One case of leakage of cement along the vertebral venous plexus and one case of leakage of bone cement along the anterior edge of the ruptured vertebral body occurred during the operation. No other serious complications occurred. All patients received better pain relief within 2 days after surgery. The VAS score was (7.1±1.2), preoperative pain VAS score was (2.3±0.6), postoperative 3 months was (1.9±0.7), and 6 months after operation was (1.2±1.1), the differences were significant (P<0.05). The ADL score [(78.0±10.0) points] 6 months after operation was significantly improved compared with preoperative [(40.0±12.0) points], the difference was significant (P<0.05). No postoperative follow-up of patients with pain, no recurrence of vertebral fracture fractures. Conclusions PVP treatment of osteoporotic vertebral fracture nonunion, reliable, can relieve pain, thereby improving the quality of life of patients, it is worth the clinical choice and application. Key words: Percutaneous vertebroplasty; Osteoporosis; Vertebral fracture nonunion; Curative effect