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Anatomical feasibility study of unilateral percutaneous kyphoplasty for lumbar through the conventional transpedicular approach An observational study using 3D CT analysis
Wang, Hongwei1,2,3,4; Hu, Pan5; Wu, Deluo1,6; Zhang, Ning1,7; Wu, Jun1,7; Chen, Yu1; Xiang, Liangbi1
Corresponding AuthorWang, Hongwei(cplawhw@163.com) ; Xiang, Liangbi(xiangliangbi1963@163.com)
2018-09-01
Source PublicationMEDICINE
ISSN0025-7974
Volume97Issue:37Pages:5
AbstractThe aim of the study was to discuss the significance of sex, level, age, and side in relation to the anatomical distinctions of unilateral percutaneous kyphoplasty (PKP) for lumbar osteoporotic vertebral compression fractures (OVCFs) through the conventional transpedicle approach (CTPA). We have retrospectively collected lumbar spines (L1-L5) of 200 patients and simulated PKP on the 3D CT scans through unilateral CTPA. We have measured the distance between the entry point and the midline of the vertebral body (DEM), the puncture inclination angle (PIA), safe range of the inner inclination angles (SRA), and the success rate (SR) of puncture. Significant differences (P<.05) between the male and female for L1 to L5, left and right side for L1 to L3 in the mean DEM were shown. The DEM from L1 to L5 was significantly increased (P<.05) from (20.6 +/- 2.0) mm to (29.8 +/- 2.9) mm. For L1 to L5, the right maximum PIA was significantly larger than the left. The maximum PIA and SRA in the male was significantly larger than that in the female. The SRA from L1 to L5 was significantly increased (P<.05) from (19.5 +/- 5.9)degrees to (48.9 +/- 8.1)degrees. The SR in male was significantly higher than that in female for L1 to L4. There were no significant differences in the SR between different age groups except for L4. The SR from L1 to L5 was significantly increased (P<.05) from 26.3% to 99.0%. DEM was 20.6 to 29.8 mm according to different levels. The value of DEM, PIA, SRA, and SR was significantly increased from L1 to L5. No significant differences in the SR between right and left for L1 to L5, different age groups except for L4 were observed.
Keywordlumbar osteoporotic vertebral compression fracture percutaneous kyphoplasty transpedicular unilateral
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
DOI10.1097/MD.0000000000012314
Indexed BySCI
Language英语
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]
WOS Research AreaGeneral & Internal Medicine
WOS SubjectMedicine, General & Internal
WOS IDWOS:000451995800049
PublisherLIPPINCOTT WILLIAMS & WILKINS
Citation statistics
Cited Times:1[WOS]   [WOS Record]     [Related Records in WOS]
Document Type期刊论文
Identifierhttp://ir.imr.ac.cn/handle/321006/130520
Collection中国科学院金属研究所
Corresponding AuthorWang, Hongwei; Xiang, Liangbi
Affiliation1.Chinese PLA, Shenyang Mil Area Command, Gen Hosp, Dept Orthoped, Shenyang, Liaoning, Peoples R China
2.Chinese Acad Sci, Shenyang Inst Automat, State Key Lab Robot, Shenyang, Liaoning, Peoples R China
3.Huazhong Univ Sci & Technol, State Key Lab Mat Proc & Die & Mould Technol, Wuhan, Hubei, Peoples R China
4.Third Mil Med Univ, State Key Lab Trauma Burn & Combined Injury, Chongqing, Peoples R China
5.Chinese Med Hosp Dianjiang Cty, Dept Orthoped, Chongqing, Peoples R China
6.Dalian Med Univ, Grad Sch, Dalian, Liaoning, Peoples R China
7.Jinzhou Med Univ, Grad Sch, Jinzhou, Liaoning, Peoples R China
Recommended Citation
GB/T 7714
Wang, Hongwei,Hu, Pan,Wu, Deluo,et al. Anatomical feasibility study of unilateral percutaneous kyphoplasty for lumbar through the conventional transpedicular approach An observational study using 3D CT analysis[J]. MEDICINE,2018,97(37):5.
APA Wang, Hongwei.,Hu, Pan.,Wu, Deluo.,Zhang, Ning.,Wu, Jun.,...&Xiang, Liangbi.(2018).Anatomical feasibility study of unilateral percutaneous kyphoplasty for lumbar through the conventional transpedicular approach An observational study using 3D CT analysis.MEDICINE,97(37),5.
MLA Wang, Hongwei,et al."Anatomical feasibility study of unilateral percutaneous kyphoplasty for lumbar through the conventional transpedicular approach An observational study using 3D CT analysis".MEDICINE 97.37(2018):5.
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