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ORIGINAL RESEARCH article

Front. Surg.
Sec. Orthopedic Surgery
Volume 12 - 2025 | doi: 10.3389/fsurg.2025.1538964

Efficacy of percutaneous cement discoplasty combined with PVP for the treatment of stage III Kümmell disease with an adjacent disc vacuum sign

Provisionally accepted
Liehua Liu Liehua Liu Pei Li Pei Li Lei Luo Lei Luo Chen Zhao Chen Zhao Huilin Zhang Huilin Zhang Deqiang Liu Deqiang Liu Qiang Zhou Qiang Zhou *
  • Third Affiliated Hospital of Chongqing Medical University, Chongqing, China

The final, formatted version of the article will be published soon.

    Objective. To observe the efficacy of percutaneous cement discoplasty (PCD) combined with PVP for the treatment of stage III Kümmell disease (KD).Methods. A total of 33 patients with stage III KD who underwent surgical treatment were divided into the PCD+PVP (PP) group (n=20) and the internal fixation and fusion (IFF) group (n=13). The observation indices included demographic characteristics, perioperative information, and clinical and imaging indicators, including the visual analog score (VAS), Oswestry disability index (ODI), Cobb angle, and height ratio of the injured vertebra and its adjacent intervertebral disc (Hv+d, RHv+d).Results. The operation time, blood loss, duration of bedrest, length of stay and cost of hospitalization were significantly lower in the PP group than in the IFF group (P<0.001). There were no significant differences in the VAS score or ODI between the two groups before the operation, after the operation or at the last follow-up (P>0.05). The RHv+d in the IFF group was significantly higher than that in the PP group after surgery and at the last follow-up (P<0.05). The Cobb angle in the IFF group was significantly smaller after the operation than before the operation (P=0.007). The incidence of complications in the PP group was lower than that in the IFF group (P=0.018).Conclusions. PCD combined with PVP for the treatment of stage III KD with an adjacent disc vacuum sign is effective and may be the next best thing to IFF, especially for elderly patients with complex underlying diseases and great surgical risks.

    Keywords: Percutaneous cement discoplasty, Kümmell disease, Percutaneous vertebroplasty, internal fixation and fusion, disc vacuum sign

    Received: 15 Dec 2024; Accepted: 30 Jan 2025.

    Copyright: © 2025 Liu, Li, Luo, Zhao, Zhang, Liu and Zhou. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Qiang Zhou, Third Affiliated Hospital of Chongqing Medical University, Chongqing, China

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