ABSTRACT
ObjectiveTo compare the difference of X ray projection volume and operative time when using two different positioning methods in percutaneous kyphoplasty to treat elderly osteoporotic vertebral compression fracture(OVCF) patients.MethodsSixty-eight(75 vertebraes) patients who underwent percutaneous kyphoplasty were divided into two groups,34 cases(39 vertebraes) underwent self-made fluoremeter (group A) comparing with the other 34 patients (36 vertebraes ) without using locator (group B).X ray projection volume,operation time and recovery of exterior edge height were compared.ResultsDuring locating the puncture point,the X ray projection volume in group A [( 196.92 ± 10.93)mA·s]was significantly less than that in group B [(826.67 ± 25.89 ) mA·s](P ＜ 0.05 ).The operation time in group A[(30.82 ±0.56) min]was significantly less than that in group B [(56.08 ±0.93) min](P＜ 0.05).The recovery of exterior edge height at 3 months after operation had no significant difference between two groups [(2.47 ± 0.18 ) mm vs.(2.09 ± 0.21 ) mm](P ＞ 0.05 ).ConclusionsThe self-made fluoremeter can save operation time and reduce the X ray projection volume.It is an effective way to treat OVCF patients undergoing percutaneous kyphoplasty.
ABSTRACT
ObjectiveTo investigate the relationship between intervertebral disc pressure and clinical efficacy after the minimally invasive treatment of cervical disc herniation. MethodsForty-seven patients with cervical disc herniation treated by disc radiofrequency ablation, and monitored the intervertebral disc pressure after that. Moreover, the correlation between the pressure and the clinical efficacy was observed. ResultsAll cases were successfully completed under pressure monitoring. Forty-seven cases underwent a follow-up of 1-25 months,according to JOA score,using postoperative improvement rate (Hirabashi formula) to assess the clinical efficacy. High efficacy in 25 cases,fine efficacy in 19 cases,good efficacy in 3 cases,high and fine efficacy rate was 93.6％ (44/47). The postoperative intervertebral discpressure was significantly correlated with improvement rate after cervical minimally invasive surgery (P ＜0.05). ConclusionsRadiofrequency ablation treatment of cervical disc herniation is safe and effective minimally invasive technique. If the pressure in the postoperative intervertebral disc is 3 kPa,it will get better prognosis.