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Age, Gender, Level and Side Differences in the Anatomical Distinctions of Unilateral Percutaneous Kyphoplasty through the Transverse Process-Pedicle Approach
Wang HW(王洪伟)1,2,3,4; Hu, Pan1,5; Wu, Deluo1,5; Zhang, Ning1,6; Wu, Jun1,6; Xiang LB(项良碧)1
Department机器人学研究室
Source PublicationPAIN PHYSICIAN
ISSN1533-3159
2019
Volume22Issue:2Pages:E91-E96
Indexed BySCI
WOS IDWOS:000470805600004
Contribution Rank1
Funding OrganizationFoundation of the Liaoning Province Doctor Startup Fund ; State Key Laboratory of Robotics ; Open Project Program of the State Key Lab of CADCG ; Open Project Program of the State Key Laboratory of Trauma, Burn and Combined Injury ; State Key Laboratory of Materials Processing and Die & Mould Technology
KeywordLumbar osteoporotic vertebral compression fracture unilateral percutaneous kyphoplasty transverse process
AbstractBackground: Unilateral and bilateral percutaneous kyphoplasty (PKP) have been widely adopted to treat osteoporotic vertebral compression fractures (OVCFs). Unilateral PKP has a shorter operation time and less radiation exposure time compared with bilateral PKP, but the anatomical distinctions of unilateral PKP are not identical in all cases. Objective: The aim of this study was to examine the significance of age, gender, level, and side in relation to the anatomical distinctions of unilateral PKP for lumbar OVCFs through the transverse process-pedicle approach (TPPA). Study Design: This was a retrospective study of 200 patients. Setting: The research took place at General Hospital of Shenyang Military Area Command of Chinese PLA. Methods: Researchers examined 1000 lumbar spines (L1-L5) of 200 patients and simulated PKP on the 3D-CT scans through unilateral TPPA. The distance between the entry point and the midline of the vertebral body (DEM), the puncture inclination angle (PIA), the safe range of the inner inclination angles (SRA), and the success rate (SR) of puncture were measured and compared. Results: There were significant differences (P< 0.05) in the mean DEM between men and women, and between the left and right sides. The DEM was significantly larger in men than women and in right than left. The DEM from L1 to L5 was significantly increased (P < 0.05), from 22.4 +/- 2.0 mm to 34.1 +/- 4.3 mm. The right maximum PIA was significantly larger than the left. The maximum puncture angle and SRA in men was larger than that in women except for L5. The SRA from L1 to L5 was significantly increased (P < 0.05), from 20.1 +/- 6.0 mm to 44.2 +/- 8.8 mm. The SR from L1 to L5 was significantly increased (P< 0.05), from 88.3% to 100%. The SR in men was significantly higher than that in women for L1 and L2. Limitations: Sample size was relatively small. Conclusions: The DEM was 22.4 mm to 34.1 mm according to different levels. There were significant gender, side, and age differences in the DEM and PIA. The values of DEM, PIA, SRA and SR were significantly increased from L1 to L5.
Language英语
WOS SubjectAnesthesiology ; Clinical Neurology
WOS KeywordVERTEBRAL COMPRESSION FRACTURES ; TRAUMATIC SPINAL FRACTURES ; BALLOON KYPHOPLASTY ; VERTEBROPLASTY ; EPIDEMIOLOGY ; METAANALYSIS ; EXPERIENCE ; MANAGEMENT
WOS Research AreaAnesthesiology ; Neurosciences & Neurology
Funding ProjectFoundation of the Liaoning Province Doctor Startup Fund[201601389] ; State Key Laboratory of Robotics[2017-O01] ; Open Project Program of the State Key Lab of CADCG[A1718] ; Open Project Program of the State Key Laboratory of Trauma, Burn and Combined Injury[SKLKF201705] ; State Key Laboratory of Materials Processing and Die & Mould Technology[P2018-011] ; Foundation of the Liaoning Province Doctor Startup Fund[201601389] ; State Key Laboratory of Robotics[2017-O01] ; Open Project Program of the State Key Lab of CADCG[A1718] ; Open Project Program of the State Key Laboratory of Trauma, Burn and Combined Injury[SKLKF201705] ; State Key Laboratory of Materials Processing and Die & Mould Technology[P2018-011]
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Document Type期刊论文
Identifierhttp://ir.sia.cn/handle/173321/24949
Collection机器人学研究室
Corresponding AuthorWang HW(王洪伟)
Affiliation1.Department of Orthopedics, General Hospital of Shenyang Military Area Command of Chinese PLA, Shenyang, Liaoning, China
2.State Key Laboratory of Robotics, Shenyang Institute of Automation, Chinese Academy of Science, Shenyang, Liaoning, China
3.State Key Laboratory of Materials Processing and Die & Mould Technology, Huazhong University of Science and Technology, Wuhan, Hubei, China
4.State Key Laboratory of Trauma, Burn and Combined Injury, Third Military Medical University, Chongqing, China
5.Graduate School, Dalian Medical University, Dalian, Liaoning, China
6.Graduate School, Jinzhou Medical University, Jinzhou, Liaoning, China
Recommended Citation
GB/T 7714
Wang HW,Hu, Pan,Wu, Deluo,et al. Age, Gender, Level and Side Differences in the Anatomical Distinctions of Unilateral Percutaneous Kyphoplasty through the Transverse Process-Pedicle Approach[J]. PAIN PHYSICIAN,2019,22(2):E91-E96.
APA Wang HW,Hu, Pan,Wu, Deluo,Zhang, Ning,Wu, Jun,&Xiang LB.(2019).Age, Gender, Level and Side Differences in the Anatomical Distinctions of Unilateral Percutaneous Kyphoplasty through the Transverse Process-Pedicle Approach.PAIN PHYSICIAN,22(2),E91-E96.
MLA Wang HW,et al."Age, Gender, Level and Side Differences in the Anatomical Distinctions of Unilateral Percutaneous Kyphoplasty through the Transverse Process-Pedicle Approach".PAIN PHYSICIAN 22.2(2019):E91-E96.
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