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Safety and efficacy of percutaneous kyphoplasty assisted with O-arm navigation for the treatment of osteoporotic vertebral compression fractures at T6 to T9 vertebrae.

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Abstract

Purpose

To evaluate the safety and efficacy of PKP under O-arm navigation system guidance for treating middle thoracic OVCF (T6~T9).

Methods

A retrospective study was conducted for 44 consecutive T6~T9 OVCF patients who received PKP assisted with O-arm navigation (n = 20) or fluoroscopy (n = 24) from January 2016 to December 2017. Demographic data, radiographic parameters, and clinical outcomes were collected and analyzed at pre-operative, post-operative, and final follow-up period. Complications including tissue lesion, needle malposition, and leakage of bone cement were also recorded amid operation.

Results

A total of 44 patients (4 males and 40 females, with mean age of 71.1 ± 8.7) were enrolled in this study, and the mean follow-up time was 14.4 months. In surgical details, navigation system could obtain more satisfactory volume of injected cement and less loss of blood, as well did not increase surgical time compared with fluoroscopy. Both radiological and clinical outcomes improved significantly at post-operative and final follow-up, while did not differed between two groups. For adverse events, the incidence of cement leakage was similar between two groups. However, O-arm navigation can achieve lower rate of complications than fluoroscopy.

Conclusion

Our preliminary study demonstrated that PKP assisted with O-arm navigation is a safe and effective procedure that applied for middle thoracic OVCF (T6~T9), which can achieve favourable radiological and clinical outcomes, and low rate of complications.

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Abbreviations

PKP:

percutaneous kyphoplasty

OVCF:

osteoporotic vertebral compression fracture

KA:

kyphotic angle

ACH:

anterior vertebral height

MVH:

middle vertebral height

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Acknowledgment

The authors would like to thank Dr. Wei Ji for his several useful suggestions and help during the article revision process.

Funding

The study was supported by The Jiangsu Provincial Clinical Orthopedics Center.

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Authors and Affiliations

  1. Department of Orthopedics, The First Affiliated Hospital of Soochow University, 899, Pinhai Road, Suzhou, 215006, China

    Yijian Zhang, Hao Liu, Fan He, Huilin Yang & Bin Pi

  2. Orthopedic Institute, Soochow University, Suzhou, 215006, China

    Yijian Zhang, Hao Liu, Fan He, Huilin Yang & Bin Pi

  3. University of Waterloo, Waterloo, Canada

    Angela Chen

Authors
  1. Yijian Zhang
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  2. Hao Liu
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  3. Fan He
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  4. Angela Chen
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  5. Huilin Yang
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  6. Bin Pi
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Contributions

BP and HY participated in the design of this study. YZ and HL carried out the study, collected important background information, and contributed to the clinical and radiological evaluations. FH helped to draft the manuscript. AC help with the language editing of the manuscript. All authors read and approved the final manuscript. Considering that Dr Wei Ji contributed a lot during the process of Article revision, all co-authors thanked for his help and agreed to added Dr Wei Ji as the co-author of this article.

Corresponding authors

Correspondence to Huilin Yang or Bin Pi.

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Permission from patients to publish their data has been obtained.

Competing interests

The authors declare that they have no competing interests.

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Yijian Zhang and Hao Liu contribute equally to this article

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Zhang, Y., Liu, H., He, F. et al. Safety and efficacy of percutaneous kyphoplasty assisted with O-arm navigation for the treatment of osteoporotic vertebral compression fractures at T6 to T9 vertebrae.. International Orthopaedics (SICOT) 44, 349–355 (2020). https://doi.org/10.1007/s00264-019-04444-5

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  • DOI: https://doi.org/10.1007/s00264-019-04444-5

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