Percutaneous Kyphoplasty for Osteoporotic Vertebral Compression Fractures With or Without Trauma

Abstract (1) Background: The study aims to compare the efficacy of percutaneous kyphoplasty (PKP) in the treatment of osteoporotic vertebral compression fractures (OVCFs) with or without trauma. (2) Methods: Patients with OVCFs who have been treated with PKP from January 2020 to September 2020 were retrospectively analyzed and divided into trauma and non-trauma groups according to whether they had a clear history of trauma before onset. Before and after surgery, the two groups' oswestry dysfunction index (ODI), visual pain simulation score (VAS), vertebral kyphosis angle (Cobb angle), anterior height of damaged vertebrae, middle height of damaged vertebra, the rate of restoration of the damaged vertebra's anterior height, the rate of restoration of the damaged vertebra's middle height, and bone cement leakage rate were compared. (3) Results: There were several significant differences in VAS or ODI scores between the two groups before , immediately after, and one year after surgery ( p > 0.05). The Cobb angle and the rate of bone cement leakage were significantly lower in the non-trauma group compared to the trauma group ( p < 0.05). (4) Conclusion: Compared to patients with OVCF without trauma, patients with OVCF with trauma undergoing PKP surgery have a relatively high bone cement leakage rate, and the degree of Cobb angle recovery and the correction degree of vertebral kyphosis deformity are relatively good.