单侧穿刺与双侧穿刺PVP在骨质疏松性脊柱骨折治疗中的效能差异与临床抉择

Efficacy Differences and Clinical Choices between Unilateral Puncture and Bilateral Puncture PVP in the Treatment of Osteoporotic Spinal Fractures

经皮椎体成形术(PVP)是治疗骨质疏松性脊柱骨折的常用方法,主要穿刺方式有两种,一种是单侧经椎弓根入路或者椎弓根外侧入路穿刺,另一种为双侧经椎弓根入路穿刺。本研究旨在探讨这两种穿刺方式在治疗骨质疏松性脊柱骨折中的效能差异,包括手术相关指标、治疗效果、并发症等方面,以便为临床抉择提供依据。通过对相关文献的综合分析,发现单侧穿刺具有手术时间短、骨水泥用量少等优点,双侧穿刺在骨水泥弥散和疼痛缓解方面可能更具优势。术者可根据个人喜好以及患者的具体情况选择合适的穿刺方式。Percutaneous vertebroplasty (PVP) is a commonly used method for treating osteoporotic spinal fractures. There are two main puncture methods, one is unilateral transpedicular or lateral approach, and the other is bilateral transpedicular approach. This study aims to explore the difference in efficacy between these two puncture methods in the treatment of osteoporotic spinal fractures, including surgical indicators, treatment effects, complications, etc., in order to provide a basis for clinical decision-making. Through comprehensive analysis of relevant literature, it was found that unilateral puncture has the advantages of short operation time and less bone cement usage, and bilateral puncture may have more advantages in bone cement diffusion and pain relief. The surgeon can choose the appropriate puncture method according to personal preferences and the specific situation of the patient.