Clinical Scorecard: A Comparative Analysis of Day Surgery Versus Inpatient Management for Percutaneous Vertebroplasty in Osteoporotic Vertebral Compression Fractures

At a Glance

Key Highlights

• Day surgery group showed significant improvement in VAS, ODI, analgesic use, and mobility scores post-surgery.
• Day surgery resulted in shorter hospital stays and lower direct medical costs compared to inpatient management.
• Patient satisfaction was higher in the day surgery group.
• No significant differences in perioperative complications between the two groups.

Guideline-Based Recommendations

Diagnosis

• Patients should have clear thoracolumbar pain symptoms and imaging-confirmed fresh vertebral compression fractures.

Management

• Consider percutaneous vertebroplasty for patients with ineffective conservative treatment.

Monitoring & Follow-up

• Evaluate VAS, ODI, and mobility scores at 1 week and last follow-up.

Risks

• Monitor for potential complications, especially in older patients with comorbidities.

Patient & Prescribing Data

168 patients with OVCF, aged 60 years and older.

Day surgery can be a viable option for selected patients, ensuring safety and efficacy.

Clinical Best Practices

• Implement thorough preoperative assessments and risk stratification.
• Ensure standardized perioperative procedures for day surgery.

Related Resources & Content

• Tianjin Hospital Ethics Committee Approval