Application of low temperature ice saline bone cement in percutaneous vertebroplasty

World Neurosurg. 2024 Oct 14:S1878-8750(24)01697-8. doi: 10.1016/j.wneu.2024.10.005. Online ahead of print.

Abstract

Objective: Percutaneous vertebroplasty uses the traditional method of bone cement filler to inject bone cement, which is easy to solidify, we have found a new method to delay the solidification of bone cement: low temperature ice saline bone cement, which compares the advantages of the new method and the traditional method of injecting bone cement.

Methods: 82 cases of osteoporotic vertebral compresion fracture(OVCF) were divided into two groups by retrospective study method, 40 patients in group A were treated with the traditional method, 42 patients in group B were treated with the new method.The leakage rate of bone cement, postoperative VAS score, amount of bone cement in each vertebral body, operation time of bone cement, and number of bone cement fillers used were compared between the two groups.

Results: There was no significant difference in the bone cement leakage rate, postoperative VAS score, the amount of bone cement in each vertebral body and the number of bone cement fillers used between the two groups; the operation time of bone cement in two groups was statistically significant, and the operation time in group B was significantly longer than that in group A.

Conclusion: Low temperature ice saline water bone cement has significant advantages in multiple vertebral fractures, relatively large amount of bone cement injected into each vertebral body and long operation time, which is more suitable for beginners.

Keywords: Bone cement filler; Bone cements; Compression fracture; Osteoporosis; Spinal fractures; Vertebroplasty.