ArticleBMC musculoskeletal disorders2023
A design of a targeted puncture trajectory applied to unilateral extrapedicular percutaneous vertebroplasty.
Article in BMC musculoskeletal disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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6 citing papers in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.
- Unilateral extrapedicular versus unilateral and bilateral transpedicular approaches in percutaneous vertebral augmentation for osteoporotic vertebral compression fractures: A meta-analysis.Joint diseases and related surgery · 2026Pooled it
- Unilaterally extrapedicular versus transpedicular kyphoplasty in treating osteoporotic lumbar fractures: a randomized controlled study.Journal of orthopaedic surgery and research · 2023Trial
- Unilateral Pedicular Puncture with Lateral Injection for Osteoporotic Vertebral Compression Fractures in the Upper and Middle Thoracic Vertebrae: A Technical Report and Efficacy Comparison.Iranian journal of medical sciences · 2026Article
- Preoperative CT-Based Planning for Unilateral Pedicle Approach PVP Reduces Cement Leakage and Improves Radiological Outcomes in Osteoporotic Vertebral Compression Fractures: A Retrospective Cohort Study.Journal of pain research · 2026Article
- Hidden blood loss of percutaneous vertebroplasty for osteoporotic vertebral compression fractures.Joint diseases and related surgery · 2025Article
- A novel unilateral extrapedicular approach applied to percutaneous vertebral augmentation to treat thoracic and lumbar Osteoporotic Vertebral Compression Fracture: a retrospective study.BMC musculoskeletal disorders · 2024Article
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2 authors at 1 institution in 1 country.
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Abstract
objectiveIn this study, we introduced a design of a targeted puncture trajectory applied to unilateral extrapedicular percutaneous vertebroplasty.
methods62 individuals with osteoporotic vertebral compression fractures (OVCF) were included in this research at the Tongling People's Hospital, from January 2019 to December 2020. Percutaneous Vertebroplasty (PVP) was performed on all patients using a targeted unilateral extrapedicular puncture technique guided by G-arm fluoroscopy. The operating time, volume and dispersion of bone cement, and cement leak were all evaluated. The oswestry disability index(ODI) and the visual analog scale (VAS) were used to assess pain relief and quality of life (QOL).
resultsThe targeted puncture trajectory for unilateral extrapedicular PVP was used to successfully treat a total of 62 fractured vertebrae without any apparent clinical issues. In comparison to their equivalent preoperative values, the VAS and ODI values after surgery were considerably lower (P < 0.01). The bone cement not only could be across the midline of the targeted vertebrae but also appeared in both the bilateral pedicle and the center projection region on the anteroposterior X-ray film, according to radiologic results in all injured vertebrae. There were 3 cases of leakage at the anterior border of the vertebral body and 2 cases of leakage into the intervertebral region without significant clinical manifestations. Furthermore, no bone cement leaked into the vessels or spinal canal.
conclusionThe design of the targeted puncture trajectory used in unilateral extrapedicular PVP not only ensures that the bone cement injector transcends the midline of the vertebral body, but it also improves the accuracy of the injector arriving at the contralateral pedicle projection area. As a result, this approach can increase well-distributed bone cement diffusion while preventing cement leakage into the spinal canal.
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