DC Field | Value | Language |
---|---|---|
dc.contributor.author | Kim, Tae | ko |
dc.contributor.author | Park, Jinah | ko |
dc.contributor.author | Cho, Jihoon | ko |
dc.contributor.author | Lee, Jin Seok | ko |
dc.contributor.author | Lee, Hong Jae | ko |
dc.date.accessioned | 2024-05-22T07:00:30Z | - |
dc.date.available | 2024-05-22T07:00:30Z | - |
dc.date.created | 2023-11-01 | - |
dc.date.issued | 2023-12 | - |
dc.identifier.citation | NEUROSPINE, v.20, no.4, pp.1287 - 1302 | - |
dc.identifier.issn | 2586-6583 | - |
dc.identifier.uri | http://hdl.handle.net/10203/319440 | - |
dc.description.abstract | Objective: To compare unilateral extrapedicular vertebroplasty (UEV) and bilateral trans-pedicular vertebroplasty (BTV) by quantitatively calculating the structural changes of frac-tured vertebral body after percutaneous vertebroplasty (PVP) using 3-dimensional voxel-based morphometry (VBM). Methods: We calculated bone cement volume (BCV); vertebral body volume (VBV); leaked intradiscal BCV; and spatial, symmetric, and even bone cement distribution (BCD) in and out of 222 vertebral bodies treated with 2 different PVPs using VBM and evaluated the incidence of subsequent vertebral compression fracture (SVCF). Statistical analyses were con-ducted to compare values between the 2 different PVPs. Results: Relative BCV, which is a potential risk factor for SVCF, was higher in the BTV group based on the data using VBM (0. 22 ± 0. 03 vs. 0. 29 ± 0. 03; p < 0. 001, t-test); however, the SVCF incidence between the 2 surgeries was not significantly different (UEV, 24. 7%; BTV, 31%; p = 0. 046, chi-square test). Spatial, even, and symmetric BCD along the 3 axes was not significantly different between UEV and BTV using VBM (x, y, z-axis, p = 0. 893, p = 0. 590, p = 0. 908 respectively, chi-square test). Conclusion: Contrary to intuitive concerns, UEV can inject a sufficient and more optimal BCV than BTV. Additionally, it can inject bone cement spatially, symmetrically, and even-ly well-distributed without an increased rate of intradiscal leakage and SVCF compared with BTV based on VBM. Therefore, UEV could be a superior alternative surgical method with similar clinical effectiveness and safety, considering the above results and the consensus that UEV is less invasive. | - |
dc.language | English | - |
dc.publisher | KOREAN SPINAL NEUROSURGERY SOC | - |
dc.title | Quantitative Comparison of Vertebral Structural Changes After Percutaneous Vertebroplasty Between Unilateral Extrapedicular Approach and Bilateral Transpedicular Approach Using Voxel-Based Morphometry | - |
dc.type | Article | - |
dc.identifier.wosid | 001136730100022 | - |
dc.identifier.scopusid | 2-s2.0-85180901893 | - |
dc.type.rims | ART | - |
dc.citation.volume | 20 | - |
dc.citation.issue | 4 | - |
dc.citation.beginningpage | 1287 | - |
dc.citation.endingpage | 1302 | - |
dc.citation.publicationname | NEUROSPINE | - |
dc.identifier.doi | 10.14245/ns.2346536.268 | - |
dc.identifier.kciid | ART003034754 | - |
dc.contributor.localauthor | Park, Jinah | - |
dc.contributor.nonIdAuthor | Kim, Tae | - |
dc.contributor.nonIdAuthor | Lee, Jin Seok | - |
dc.contributor.nonIdAuthor | Lee, Hong Jae | - |
dc.description.isOpenAccess | N | - |
dc.type.journalArticle | Article | - |
dc.subject.keywordAuthor | Voxel | - |
dc.subject.keywordAuthor | Unilateral extrapedicular vertebroplasty | - |
dc.subject.keywordAuthor | Subsequent vertebral compression fracture | - |
dc.subject.keywordPlus | WOMEN | - |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.