A comparative study on percutaneous vertebroplasty for osteoporotic vertebral compression fractures under day surgery and inpatient management models - Report - MDSpire
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A comparative study on percutaneous vertebroplasty for osteoporotic vertebral compression fractures under day surgery and inpatient management models
Clinical Report: Day Surgery Versus Inpatient Management for Vertebroplasty
Overview
This study compares the efficacy, safety, and costs of percutaneous vertebroplasty for osteoporotic vertebral compression fractures (OVCF) between day surgery and inpatient management.
Background
Osteoporotic vertebral compression fractures are prevalent in the elderly, leading to significant morbidity and decreased quality of life. Percutaneous vertebroplasty is a minimally invasive treatment option that has gained traction due to its rapid effects.
Data Highlights
Parameter
Day Surgery Group
Inpatient Group
Total Hospital Stay
Shorter
Longer
Direct Medical Cost
Lower
Higher
Patient Satisfaction
Higher
Lower
Key Findings
No significant differences in baseline data between groups (P > 0.05).
Significant improvement in VAS, ODI, analgesic use, and mobility scores in the day surgery group postoperatively (P < 0.01).
No significant differences in VAS, ODI, analgesic use, and mobility scores between groups at follow-up (P > 0.05).
Day surgery group had a shorter total hospital stay and lower direct medical costs (P < 0.01).
Higher patient satisfaction reported in the day surgery group (P < 0.01).
No significant differences in intraoperative blood loss, bone cement injection volume, or postoperative complications (P > 0.05).
Clinical Implications
The findings suggest that percutaneous vertebroplasty can be safely performed in a day surgery setting for selected OVCF patients, potentially leading to reduced healthcare costs and improved patient experiences. Clinicians should consider patient selection criteria carefully to optimize outcomes.
Conclusion
Day surgery for percutaneous vertebroplasty in OVCF patients offers comparable clinical outcomes to inpatient management.
