[Clinical application of targeted sealing with high viscosity bone cement and secondary injection of low viscosity bone cement in vertebroplasty].

OBJECTIVE: To observe the clinical efficacy of targeted sealing with high viscosity bone cement and secondary injection of low viscosity bone cement in the treatment of OVCFs patients with the fracture lines involved vertebral body margin. METHODS: The elderly patients who underwent vertebroplasty for osteoporotic vertebral compression fractures from January 2019 to September 2021 were selected as the screening objects. Through relevant standards and further CT examination, 56 patients with fracture lines involving the anterior wall or upper and lower endplates of the vertebral body were selected for the study. There were 21 males and 35 females, aged from 67 to 89 years old with an average of (76.58±9.68) years. All 56 patients underwent secondary injection of bone cement during operation. Only a small amount of high viscosity cement was targeted to seal the edge of the vertebral body for the first time, and low viscosity cement was injected to the vertebral bodies during second bolus with well-distributed. The operation time, bone cement volume and bone cement leakage were recorded, and the pain relief was evaluated by visual analogue scale (VAS). RESULTS: All patients were followed up for more than 3 months and the surgeries were successfully complete. The operation time was (50.41±10.30) min and the bone cement volume was (3.64±1.29) ml. The preoperative VAS was (7.21±2.41) points, which decreased significantly to (2.81±0.97) points 3 days after operation(P<0.05). Among the 56 patients, 2 cases(3.57%) had bone cement leakage, 1 case leaked to the paravertebral vein, and 1 case slightly bulged to the paravertebral through the crack when plugging the vertebral crack. Both patients had no obvious clinical symptoms. CONCLUSION: In vertebroplasty surgery, targeted sealing of high viscosity bone cement and secondary injection of low viscosity bone cement can reduce intraoperative bone cement leakage and improve the safety of operation.

Experimental analysis of the stick-slip characteristics of faults at different loading rates.

In deep underground engineering, in a large spatial, high-stress environment, rapid excavation is likely to affect the loading rate of the fault structure and to cause stick-slip. In this study, an experiment was conducted to explore the stick-slip characteristics at different loading rates. A double-sided shear experiment and the digital speckle correlation method were used to analyze the evolution of the displacement field, the slip displacement, and the slip rate of the fault's stick-slip activity at different loading rates as well as their correlation with the loading rate. The loading rate, moment magnitude, and stress drop of the fault's stick-slip and their corresponding relationships were studied. The results show that the occurrence of stick-slip is inversely proportional to the loading rate. The evolution of the fault-slip displacement field at different loading rates is similar. At a given loading rate, the magnitude is positively correlated with the stress drop. The magnitude and stress drop are inversely related to the loading rate.