球囊扩张椎体后凸成形术治疗骨质疏松性椎体压缩性骨折

目的观察球囊扩张椎体后凸成形术(PKP)治疗骨质疏松性椎体压缩性骨折的临床疗效。方法采用PKP治疗60例骨质疏松性椎体压缩性骨折患者(共77椎),比较手术前后VAS评分、椎体前缘高度、Cobb角变化情况,分析疗效。结果 VAS评分术后低于术前,椎体前缘高度术后高于术前,Cobb角术后小于术前,差异均有统计学意义(P<0.05)。患者均获随访,时间6～12(8.2±1.7)个月。随访期间均未发生疼痛加重情况。结论 PKP治疗骨质疏松性椎体压缩性骨折临床疗效良好,有效恢复并保持脊柱功能,并发症少,患者接受程度较高。     

椎体后凸成形术中单球囊交替扩张与双球囊同时扩张治疗骨质疏松性椎体骨折的疗效对比

目的 对比单球囊交替扩张与双球囊同时扩张椎体后凸成形术（PKP）治疗骨质疏松性椎体骨折的临床疗效.方法 54例骨质疏松性椎体骨折患者,按手术方法不同分为单球囊组（30例）和双球囊组（24例）,对比两组患者的手术时间、术中出血量、骨水泥注射量及疼痛视觉模拟评分（VAS）、Cobb角、椎体高度,评价其疗效.结果 单个椎体手术时间、骨水泥注射量及术中出血量两组比较差异均无统计学意义（P〉0.05）;手术前后VAS评分、Cobb角及椎体前缘高度、中央高度及后缘高度两组比较差异均无统计学意义（P〉0.05）.两组术后VAS评分及Cobb角均较术前明显改善（P〈0.05）;两组术后椎体前缘高度与中央高度均较术前提高（P〈0.05）,但后缘高度并未发生明显的变化（P〉0.05）.结论 单球囊交替扩张与双球囊同时扩张PKP治疗骨质疏松性椎体骨折均能够获得较好的疗效,但在患者经济情况允许的情况下,双球囊扩张术应是首选术式.     

球囊扩张椎体后凸成形术治疗老年骨质疏松性椎体骨折

目的：探讨球囊扩张椎体后凸成形注入骨水泥治疗老年骨质疏松性椎体骨折的疗效。方法：对52例老年骨质疏松性单椎体骨折患者采用球囊扩张椎体后凸成形术治疗。在DSA透视引导下行单侧或双侧椎弓根穿刺,注入骨水泥。结果：发生骨水泥渗漏6例,术后1周腰背疼痛、后凸角度、伤椎高度、活动能力较术前明显改善（P〈0.05）,术后6个月、末次随访与术后1周,上述指标比较差异均无显著性（P〉0.05）。结论：球囊扩张椎体后凸成形注入骨水泥,不仅能够明显缓解骨质疏松性脊柱骨折导致的疼痛,而且可以部分恢复椎体高度和改善脊柱后凸畸形,有利于脊柱功能的恢复。     

球囊扩张椎体后凸成形术治疗骨质疏松性脊柱压缩性骨折

目的探讨球囊扩张椎体后凸成形术治疗骨质疏松性椎体压缩性骨折的初步疗效及安全性。方法自2004年12月至2006年5月,采用球囊扩张椎体后凸成形术治疗骨质疏松性椎体压缩性骨折16例,24个伤椎,均经单侧椎弓根置入可扩张球囊使骨折塌陷椎体复位,然后使用骨水泥充填椎体,观察术后症状改善及骨折复位情况。结果16例手术均顺利,疼痛于术后48h内均明显缓解并可下床活动,患者4~12d内出院。随访6~18个月,平均11个月。平均VAS评分由术前(8.5±0.3)分到术后(2.1±0.2)分和最终随访(2.3±0.3)分(P<0.01);Oswestry功能评分由术前(43±1.32)分到术后(21±1.29)分和最终随访(22±1.25)分(P<0.01);手术椎体前中柱平均高度由术前(14.8±2.8)mm到术后(24.3±2.1)mm和最终随访(24.4±1.9)mm(P<0.05);cobb角平均由术前23.2°±4.6°到术后10.3°±3.1°和最终随访10.2°±4.3°(P<0.05);1例发生骨水泥渗漏,但无严重的并发症。结论球囊扩张椎体后凸成形术可有效恢复骨质疏松性椎体压缩性骨折椎体的高度,缓解疼痛,改善患者的功能,明显减少骨水泥的渗漏,是一种安全、有效的治疗方法。     

经皮球囊扩张椎体后凸成形术治疗老年骨质疏松性椎体压缩性骨折

目的分析经皮球囊扩张椎体后凸成形术(PKP)治疗老年骨质疏松性椎体压缩性骨折的临床效果及安全性。方法对34例老年骨质疏松性椎体压缩性骨折患者实施PKP。观察患者术后疼痛、椎体恢复及并发症发生情况。结果本组34例患者术后发生骨水泥渗漏1例(2.94%)。未发生坠积性肺炎、肺栓塞、大小便失禁等其他并发症。术后随访6~10个月,术后7 d、6个月随访,患者椎体前缘高度、伤椎后凸角度、视觉模拟评分法(VAS)评分及Barthel指数等均优于术前,差异有统计学意义(P0.05)。结论 PKP治疗骨质疏松性椎体压缩性骨折,并发症少、疼痛缓解及伤椎恢复效果好,患者生活质量可得到明显提高。     

经皮球囊扩张椎体后凸成形术治疗 老年骨质疏松性椎体压缩性骨折

目的探讨经皮球囊扩张椎体后凸成形术（PKP)治疗老年骨质疏松性椎体压缩性骨折的临床 效果。方法对69例共叨个老年骨质疏松性椎体压缩性骨折的患者,均行经皮球囊扩张椎体后凸 成形术。观察指标为术前术后的疼痛视觉模拟评分（vasal analogue scale,VAS )、椎体高度的恢复及 并发症发生情况。结果 W个椎体均经皮行双侧椎弓根穿刺成功完成手术。所有患者疼痛缓解, VAS术前平均为（7. 52 10. 49)分,术后第3天平均为（2. 38 1 0. 22)分;术后1个月VAS平均为（1. 88 ±0. 12)分。术前骨折椎体前缘高度平均为（15.65 1 0. 68 ) mm,术后椎体前缘高度平均为（23.68 1 0.83) mm,术前术后差异有显著性（P < 0. 05 )。骨水泥注射量每个椎体3.5-7.5@1,平均5.5 ml。骨 水泥少量渗漏到椎间隙1个椎体,沿手术通道反流至椎弓根2个椎体,均无临床症状,渗漏率为 3.23%。结论经皮球囊扩张椎体后凸成形术（PKP)治疗老年骨质疏松性椎体压缩性骨折,能迅速 缓解疼痛,一定程度的恢复椎体高度,临床疗效确切。     

球囊后凸成形术治疗骨质疏松椎体压缩性骨折

[目的]探讨椎体球囊后凸成形术对骨质疏松椎体压缩性骨折的治疗效果。[方法]对2018年3月～2018年11月因椎体压缩性骨折至本院就诊、行"椎体球囊后凸成形术"的患者进行随访,记录其术前、术后的疼痛评分和功能评分并进行对比,评估其手术疗效。[结果]所有患者均顺利完成手术,手术时间平均(40.91±4.63) ml,术中出血量平均(31.83±6.04) ml,平均住院(2.41±0.62) d,未出现神经根损伤、大出血等术中并发症。术后患者VAS评分及ODI评分均明显降低,差异有统计学意义(P0.05)。随访3个月期间,所有患者均未出现骨水泥移位、骨水泥栓塞等并发症。1例患者术后1个月出现伤椎邻椎骨折,再次行椎体成形手术治疗。[结论]椎体球囊后凸成形术能够有效缓解椎体压缩性骨折患者的疼痛,提高生活质量。     

球囊扩张椎体后凸成形术治疗骨质疏松性椎体压缩骨折的疗效观察

目的观察球囊扩张椎体后凸成形术治疗骨质疏松性椎体压缩骨折的临床疗效。方法将2010年4月至2012年11月收治的80例骨质疏松性椎体压缩骨折患者,随机分为实验组（n=40）和对照组（n=40）,实验组采用球囊扩张椎体后凸成形术治疗,对照组采用经皮椎体成形术治疗。结果所有患者术后随访6个月。两组患者术后VAS评分、Cobb＇s角和ODI评分均显著小于术前（P〈0.05）,实验组术后6个月VAS 评分显著小于对照组（P〈0.05）,实验组术后3 d和术后6个月的Cobb＇s角和ODI评分均显著小于对照组（P〈0.05）,实验组骨水泥渗漏率显著低于对照组（P〈0.05）。结论球囊扩张椎体后凸成形术治疗骨质疏松性椎体压缩骨折疗效确切,安全性好,可以作为治疗骨质疏松性椎体压缩骨折的首选方法之一。     

经皮球囊扩张椎体后凸成形术治疗骨质疏松性椎体压缩骨折

骨质疏松性胸腰椎压缩性骨折是老年人常见病,严重影响了生活质量。以往治疗方法为单纯采用俯卧背伸复位、佩戴矫形支具、理疗、止痛等姑息疗法。经皮球囊扩张椎体后凸成形术（percutaneous kyphoplasty,PKP）是近年来治疗胸腰椎骨质疏松性压缩骨折、椎体转移瘤等疾病引起疼痛的一项新型微创脊柱外科技术,被认为是理想的较为安全的选择。从2003年10月至2007年4月,应用球囊经皮椎体成形手术系统治疗椎体压缩骨折17例30椎,取得了良好效果,现总结如下。     

经皮球囊扩张椎体后凸成形术治疗骨质疏松性脊柱压缩性骨折

目的探讨经皮球囊扩张椎体后凸成形术治疗老年性骨质疏松性脊柱压缩性骨折的疗效。方法对15例(20个椎体)患者行经皮球囊扩张椎体后凸成形术的治疗,分析患者术前术后的临床表现,X线术前术后的对比。结果具有创伤小、手术时间短、并发症少、恢复快、止痛效果好。结论经皮球囊扩张椎体后凸成形术是治疗老年性骨质疏松性脊柱压缩性骨折的理想方法。     

Percutaneous vertebroplasty and percutaneous balloon kyphoplasty for osteoporotic vertebral compression fracture: A metaanalysis

Background:Osteoporotic vertebral compression fracture (OVCF) is the most common complication of osteoporosis, however, debate persists over which procedure of percutaneous vertebroplasty (PVP) or balloon kyphoplasty (BKP) is a better treatment. We performed a metaanalysis of prospective, randomized controlled and clinical controlled trials of PVP and BKP to determine the efficacy and safety for the treatment of OVCFs to reach a relatively conclusive answer.Results:As of March 15, 2013, a PubMed search resulted in 761 articles, of which eleven studies encompassing 789 patients, met the inclusion criteria. The average length of followup is 17 months and 4.6% patients were lost to followup. Results of metaanalysis indicated that BKP is more effective for short term pain relief. In addition, BKP is more effective to restore the AVBH (anterior vertebral body height), ODI and kyphotic angle of OVCFs. Moreover, BKP need more polymethylmethacrylate amount.Conclusions:In terms of better effectiveness of BKP procedure, we believe BKP to be superior over PVP for the treatment of osteoporotic VCFs.     

Clinical and radiographic evaluation of balloon kyphoplasty using VCFX for osteoporotic vertebral compression fracture

Objective

In response to the major concerns of cement leakage and associated neurological injuries with regards to percutaneous vertebroplasty, balloon kyphoplasty (BK) was devised and introduced in 1998. This study retrospectively evaluated the clinical outcomes and radiological findings of the first 100 patients receiving BKs because of osteoporotic vertebral compression fractures (VCFs) at our institute.

Materials and Methods

A total of 100 patients (85 female and 15 male) with 130 osteoporotic VCFs undergoing BKs from January 2007 to July 2009 were enrolled. BK using VCFX (Central Medical Technologies, Taiwan) and associated polymethylmethacrylate augmentation was performed on these patients with symptomatic VCFs that responded poorly to conservative therapy. All patients received preoperative magnetic resonance imaging to determine which level needed BK. Radiographies were used for preoperative and postoperative imaging studies. A Huskisson’s visual analog scale was used to compare the clinical result of pain relief before and after surgery.

Results

The rupture of 20 (15.4%) balloons was noted during the operations. Nineteen (14.6%) cement leakages were found postoperatively, 7 cement leakages with balloon rupture and 12 with balloon integrity. No neurological complications occurred for either balloon rupture or integrity postoperatively. The visual analog scale scores improved from 87 preoperatively to 32 at final follow-up visit. Eighty-six patients returned to their preinjury activities of daily living and achieved better quality of life than their preoperative status. The average restoration of the fractured vertebral body height was 36.5%. The average correction of the sagittal alignment was 7.2°.

Conclusions

BK is an effective and low-risk method to treat painful osteoporotic VCFs. However, balloon rupture with Telebrex contrast medium extravasation is troublesome and can obscure the visual field of intraoperative fluoroscopy influencing the following injection of bone cement.     

High- versus low-viscosity cement vertebroplasty and kyphoplasty for osteoporotic vertebral compression fracture: a meta-analysis

Background

To compare high- versus low-viscosity bone cement on the clinical outcomes and complications in patients with Osteoporotic vertebral compression fractures (OVCFs) who underwent percutaneous vertebroplasty (PVP) or percutaneous kyphoplasty (PKP).

Methods

PubMed, Embase, and the Cochrane Library were searched for papers published from inception up to February 2021 for potentially eligible studies comparing high- versus low-viscosity cement for PVP/PKP. The outcomes were the leakage rate, visual analog scale (VAS), and Oswestry Disability Index (ODI).

Results

Eight studies (558 patients; 279 in each group) were included. The meta-analysis showed that the leakage rate was lower with high-viscosity cement than with low-viscosity cement (OR = 0.23, 95%CI 0.14–0.39, P < 0.001; I² = 43.5%, P_{heterogeneity} = 0.088); similar results were observed specifically for the disk space, paravertebral space, and peripheral vein, but there were no differences regarding the epidural space and intraspinal space. The VAS was decreased more significantly with high-viscosity cement than with low-viscosity cement (WMD = − 0.21, 95%CI − 0.38, − 0.04, P = 0.015; I² = 0.0%, P_{heterogeneity} = 0.565). Regarding the ODI, there was no difference between high- and low-viscosity cement (WMD = − 0.88, 95%CI − 3.06, 1.29, P = 0.426; I² = 78.3%, P_{heterogeneity} < 0.001).

Conclusions

There were lower cement leakage rates in PVP/PKP with high-viscosity bone cement than low-viscosity bone cement. The two groups have similar results in ODI, but the VAS scores favor high-viscosity bone cement. Therefore, the administration of high-viscosity bone cement in PVP/ PKP could be a potential option for improving the complications of leakage in OVCFs, while the clinical efficacy of relieving pain is not certain.

     

Adjacent vertebral fractures after percutaneous vertebral augmentation of osteoporotic vertebral compression fracture: a comparison of balloon kyphoplasty and vertebroplasty

Introduction  

It is still controversial whether adjacent level compression fractures after balloon kyphoplasty (BK) and vertebroplasty (VP) should be regarded as the consequence of stiffness achieved by augmentation with bone cement or if the adjacent level fractures are simply the result of the natural progression of osteoporosis. The purpose of this study was to evaluate the adjacent level fracture risk after BK as compared with VP and to determine the possible dominant risk factor associated with new compression fractures.     

Balloon kyphoplasty versus percutaneous vertebroplasty for osteoporotic vertebral body compression fractures: clinical and radiological outcomes

BACKGROUND CONTEXTOsteoporotic vertebral body compression fracture are the commonest fractures amongst the other osteoporotic fracture sites. These fragility fractures are the result of low energy mechanical forces that that would not ordinarily result in fracture. Percutaneous vertebroplasty and balloon kyphoplasty has been widely used as minimally invasive procedures to treat painful vertebral compression fractures.PURPOSEAim of the present study was to evaluate radiological, clinical and functional outcome of patients with osteoporotic vertebral body fractures treated with Balloon Kyphoplasty and Vertebroplasty.STUDY DESIGNProspective cohort studyPATIENT SAMPLE40 patients (Male:15, Female: 25) with average age of 56 +/- 8 years diagnosed with osteoporotic vertebral body compression fracture on clinical and radiological evaluation with no neurological deficit and no other associated fractures were included.OUTCOME MEASURESOperative time, cost for the procedure, gain in vertebral body height, reduction in pain, ability to perform daily routine activities, risk of cement leakage and any other systemic complications were evaluated and compared in both the study groups.METHODSAll the patients underwent conventional Xray, MRI (to rule out acute from chronic fracture, to check compromise of spinal canal and calculate collapse in vertebral body height), Visual analog scaling for severity of pain and difficulty in daily routine activities by Oswestry disability index preoperatively. Post operative clinal, functional, radiological outcome and complications were compared in patients treated with percutaneous vertebroplasty and balloon kyphoplasty.RESULTThere was significant difference in intraoperative time period and procedure cost for the patients treated with Vertebroplasty(50.75min, 25k) in comparison to balloon kyphoplasty (71.95, 50k) with p value being < .001There was significant difference between preoperative and postoperative study parameters in both the study groups but there was no significant difference in post operative study parameters amongst both the study groups with p values >.05 for different parameters, 0.381(Gain in vertebral height), 0.108 (pain relief), 0.846(Oswestry disability index) and 0.197(risk of cement leakage)CONCLUSIONOur study suggested that percutaneous vertebroplasty requires less operative time and is more economical than balloon kyphoplasty. Increase in intraoperative time increases the risk of infection. Though the cases of Intraoperative operative cement leakage were more in percutaneous vertebroplasty but is was not significant. However the final radiological, clinical, functional outcome and overall complications were found to be similar in both the groups. Balloon kyphoplasty provided no added benefit over percutaneous vertebroplasty. A study with larger sample size will be needed to warrant one surgical procedure superior to other in the treatment of osteoporotic vertebral body compression fracture.     

Recompression of vertebral body after balloon kyphoplasty for osteoporotic vertebral compression fracture

The purpose of this retrospective clinical study was to evaluate the factors that affect recompression of operated vertebrae after percutaneous balloon kyphoplasty (PKP) for osteoporotic vertebral compression fractures (VCFs) and assess their clinical importance. PKP has been used for VCFs with satisfactory results. Several studies about subsequent VCFs adjacent to cemented vertebrae have been reported after PKP. However, the presence and significance of recompression of operated vertebrae have not been adequately described. In total, 80 patients treated with PKP for single thoracolumbar VCFs were reviewed. The follow-up period was at least 1 year. Patients were divided into those without recompression (maintained group, n = 70) and those with recompression (recompressed group, n = 10). Plain roentgenography (preoperative, operative, and last), preoperative BMD, and preoperative MRI were checked. Age, gender, T-score in BMD, duration of symptom, compression rate (CR) of VCF, reduction rate, kyphotic angle (KA), reduction angle, intervertebral cleft (IVC), and non-PMMA-endplate-contact (NPEC) were evaluated. To evaluate the clinical results, we checked the VAS score at each follow-up period. All data were analyzed statistically. The CR for the recompressed group increased significantly after surgery and decreased at the last follow-up (p < 0.05). The last CR was not significantly different from the preoperative CR. The KA showed the same pattern. The preoperative, postoperative, and last VAS scores were significantly different from one another in both groups (p < 0.05). Between the groups, preoperative KA, postoperative KA, last KA, IVC, and NPEC were significantly different (p < 0.05). In particular, last KA, IVC, and NPEC showed highly significant differences (p < 0.001). In a correlation test for the evaluated factors, IVC (r = 0.557) and NPEC (r = 0.496) were the most significant. The presence of IVC and NPEC may play an important role in inducing recompression of treated vertebrae after PKP. Careful observation of patients with these conditions is necessary to prevent deterioration of their clinical course.     

Percutaneous vertebroplasty versus balloon kyphoplasty for treatment of osteoporotic vertebral compression fracture: a meta-analysis of randomised and non-randomised controlled trials

Purpose  

There is still debate over whether vertebroplasty (VP) or kyphoplasty (KP) is superior for the treatment of osteoporosis vertebral compression fractures (VCFs). We performed a systematic review and meta-analysis of randomised and non-randomised controlled trials comparing VP with KP to reach a relatively conclusive answer.     

椎体后凸成形术和椎体成形术治疗骨质疏松性椎体骨折疗效的对比研究

目的探讨椎体后凸成形术（percutaneou8kyphoplasty,PKP）和椎体成形术（percutaneousvertebroplasty,PVP）在治疗骨质疏松性椎体骨折中的应用。方法共562例骨质疏松性椎体骨折,采用PVP治疗256例,PKP治疗306例。统计分析手术前后视觉模拟疼痛评分（vAS）、SF-36评分系统、伤椎高度及后凸畸形的X线片测量。结果患者获随访6。12个月,术后症状缓解,无神经损伤,骨水泥渗漏并发症2组比较差异无统计学意义fP〉0．05）。2组手术前后VAS和SF-36评分比较,差异有统计学意义（P〈0．05）;PKP组术前与术后1周、6个月椎体高度恢复率、椎体后凸角度改善率与PVP组比较,差异有统计学意义（P〈0．05）;PKP组的术后12个月和术后6个月的椎体压缩率、后凸角度比较,差异有统计学意义（P〈O．05）。结论PVP与PKP均可显著缓解椎体压缩骨折患者的疼痛,PKP矫正椎体高度及改善后凸畸形比PVP好;骨水泥渗漏发生率2组相当。     

椎体成形术及椎体后凸成形术治疗椎体压缩骨折的比较研究

目的比较椎体成形术（PVP）与椎体后凸成形术（PKP）在治疗骨质疏松性椎体压缩骨折方面的疗效及安全性。方法2004年7月至2007年9月，收治骨质疏松性椎体压缩骨折患者36例，PVP治疗20例，PKP治疗16例。分别于术前、术后1周及术后6月使用VAS及SF-36评分系统对患者的疼痛程度及生活质量进行评估，并通过影像学检查评估Cobb角矫正程度及骨水泥渗漏发生率。统计学分析方法采用t检验及Oneway ANOVA（P〈0．05）。结果36例手术均成功完成。PVP组出现8例椎旁静脉骨水泥栓塞及2例肺栓塞，PKP组出现6例椎旁静脉骨水泥栓塞及1例肺栓塞，两组骨水泥栓塞出现比率差异无显著性（P〉0．478）。1例PKP组肺栓塞患者出现呼吸困难，5d后缓解，其他患者无明显相关症状。无论是PVP组还是PKP组，所有患者术后1周及术后6月的VAS及SF-36评分均较术前评分明显改善，统计学上差异有显著性（P〈0．013），术后6月评分较术后1周评分统计学上差异无显著性（P〉0．587）。VAS及SF-36评分术后6月与术前评分的差值，PKP组与PVP组之间差异无显著性（P〉0．423）。Cobb角方面，PVP组和PKP组，术后1周及术后6月均较术前明显降低，统计学上差异有显著性（P〈0．031），术后6月较术后1周统计学上差异无显著性（P〉0．637）。Cobb角术后6月与术前的差值，PKP组与PVP组之间差异无显著性（P〉0．535）。结论PVP与PKP均可显著缓解椎体压缩骨折患者的疼痛，有效纠正后凸畸形，骨水泥渗漏常见，但有临床症状者极少。在疼痛缓解、后凸矫正及并发症发生率方面，PKP比PVP并未显示出明显优势。     

PVP与PKP治疗单节段骨质疏松性椎体骨折伴椎管狭窄的比较

[目的]前瞻性比较经皮椎体成形术(PVP)和经皮椎体后凸成形术(PKP)治疗单节段骨质疏松性椎体压缩骨折(OVCF)伴椎管狭窄但无神经症状的临床疗效。[方法]2014年7月～2016年6月87例单节段骨质疏松性椎体压缩骨折伴椎管狭窄但无神经症状的患者纳入本研究,按随机数字法分为PVP组43例和PKP组44例,分别行PVP和PKP治疗。比较分析两组手术时间、骨水泥注入量、X线曝光次数、术后住院时间、并发症和VAS和ODI评分。影像测量并比较椎体平均高度、后突骨块长度、后凸角。[结果]PKP组手术时间和骨水泥注入量显著大于PVP组(P0.05),但两组X线曝光次数和住院时间差异无统计学意义(P0.05),两组术后相关并发症发生率差异也无明显统计学意义(P0.05)。所有患者均获得24～36个月的随访,两组末次随访的VAS及ODI评分较术前均明显减少(P0.05),但相应时间点两组间VAS和ODI评分差异无统计学意义(P0.05)。影像测量方面,PKP组的椎体高度恢复及后凸角矫正显著优于PVP组(P0.05),此外PKP组后突骨块矫正也明显优于PVP组(P0.05)。[结论]PVP与PKP治疗伴椎管狭窄但无神经症状的单节段骨质疏松性椎体压缩骨折的临床疗效基本相近,均能取得良好临床效果,但PKP椎体高度恢复、术后后凸矫正优于PVP。