Anatomical feasibility study of unilateral percutaneous kyphoplasty for lumbar through the conventional transpedicular approach An observational study using 3D CT analysis

doi:10.1097/MD.0000000000012314

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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, Hongwei 1,2,3,7; Hu, Pan 5; Wu, Deluo 4,7; Zhang, Ning 6,7; Wu, Jun 6,7; Chen, Yu 7; Xiang, Liangbi 7
刊名	MEDICINE
	2018-09-01
卷号	97 期号:37 页码:5
关键词	lumbar osteoporotic vertebral compression fracture percutaneous kyphoplasty transpedicular unilateral
ISSN号	0025-7974
DOI	10.1097/MD.0000000000012314
通讯作者	Wang, Hongwei(cplawhw@163.com) ; Xiang, Liangbi(xiangliangbi1963@163.com)
英文摘要	The 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.
资助项目	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]
WOS研究方向	General & Internal Medicine
语种	英语
出版者	LIPPINCOTT WILLIAMS & WILKINS
WOS记录号	WOS:000451995800049
资助机构	Foundation 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
内容类型	期刊论文
源URL	[http://ir.imr.ac.cn/handle/321006/130517]
专题	金属研究所_中国科学院金属研究所
通讯作者	Wang, Hongwei; Xiang, Liangbi
作者单位	1.Chinese Acad Sci, Shenyang Inst Automat, State Key Lab Robot, Shenyang, Liaoning, Peoples R China 2.Huazhong Univ Sci & Technol, State Key Lab Mat Proc & Die & Mould Technol, Wuhan, Hubei, Peoples R China 3.Third Mil Med Univ, State Key Lab Trauma Burn & Combined Injury, Chongqing, Peoples R China 4.Dalian Med Univ, Grad Sch, Dalian, Liaoning, Peoples R China 5.Chinese Med Hosp Dianjiang Cty, Dept Orthoped, Chongqing, Peoples R China 6.Jinzhou Med Univ, Grad Sch, Jinzhou, Liaoning, Peoples R China 7.Chinese PLA, Shenyang Mil Area Command, Gen Hosp, Dept Orthoped, Shenyang, Liaoning, Peoples R China
推荐引用方式 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.