{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T15:05:18Z","timestamp":1790348718342,"version":"4.1.0"},"reference-count":31,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,10,24]],"date-time":"2024-10-24T00:00:00Z","timestamp":1729728000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82272547"],"award-info":[{"award-number":["82272547"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Although percutaneous kyphoplasty (PKP) under C\u2010arm guidance is an effective treatment for osteoporotic vertebral compression fractures (OVCF), obtaining high\u2010definition images in patients with OVCF and spinal deformities can be challenging or insufficient using traditional C\u2010arm guidance, prompting our institution to adopt the O\u2010arm navigation system\u2014which offers comprehensive 3D imaging and precise navigation\u2014and this study compares its safety and efficacy with conventional C\u2010arm\u2010assisted PKP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a retrospective study. From February 2019 to February 2022, we enrolled 28 patients with OVCF (44 vertebrae) with spinal deformity treated with O\u2010arm navigation\u2010assisted PKP and 30 patients with OVCF (42 vertebrae) with spinal deformity treated with C\u2010arm\u2010guided PKP. We recorded puncture times, single\u2010segment operation time, number of cases with bone cement leakage, and length of stay. The visual analog scales (VASs), Oswestry disability indexes (ODIs), recovery of Cobbs angle, and vertebral height were used to assess treatment effect before the operation, on the first day postoperation, the first month postoperation, and at the final follow\u2010up. The chi\u2010squared test was utilized for comparing discrete variables, an independent samples <jats:italic>t<\/jats:italic>\u2010test was used for continuous variables, and Pearson's chi\u2010squared test and Fisher's exact test were applied for categorical data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Demographic features were comparable between the groups. The O\u2010arm navigation group showed a significant reduction in puncture adjustment per vertebrae, single\u2010segment operation time, and the rate of trocar needle malposition compared to the C\u2010arm guidance group. The rate of cement leakage was decreased in the O\u2010arm\u2010guided PKP group, and other complications did not differ between the two groups. Intragroup comparisons revealed significant improvements in VAS scores and ODI on the first day, first month, and final follow\u2010up after the operation (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). The VAS score was significantly lower in the O\u2010arm navigation\u2010assisted PKP group than in the C\u2010arm\u2010guided PKP group on the first day postoperatively (<jats:italic>p<\/jats:italic>\u2009=\u20090.049). However, no significant differences in VAS scores were observed between the groups at the first month postoperatively or at the final follow\u2010up. In each follow\u2010up period, there was no significant difference in ODI, Cobb angle, and the percent of anterior vertebral height (AVH %) between the groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>O\u2010arm navigation\u2010assisted PKP demonstrates better clinical safety and efficacy than C\u2010arm\u2010guided PKP, marking it as a minimally invasive, safe, and effective procedure for treating patients with OVCF with spinal deformity.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.14269","type":"journal-article","created":{"date-parts":[[2024,10,24]],"date-time":"2024-10-24T07:30:44Z","timestamp":1729755044000},"page":"125-132","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Enhanced Safety and Efficacy of O\u2010Arm Navigation Over C\u2010Arm Guidance in Percutaneous Kyphoplasty for Patients With Osteoporotic Vertebral Compression Fractures and Spinal Deformity: A Comparative Study"],"prefix":"10.1111","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5968-1061","authenticated-orcid":false,"given":"Zhong\u2010Wei","family":"Ji","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery The First Affiliated Hospital of Soochow University  Suzhou Jiangsu China"},{"name":"Center for Rehabilitation Medicine, Department of Pain Management Zhejiang Provincial People's Hospital, Affiliated People's Hospital, Hangzhou Medical College  Hangzhou Zhejiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min\u2010Jie","family":"Shen","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery The First Affiliated Hospital of Soochow University  Suzhou Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jia\u2010Jia","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery The First Affiliated Hospital of Soochow University  Suzhou Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jia\u2010Le","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery The First Affiliated Hospital of Soochow University  Suzhou Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yong\u2010Kang","family":"Deng","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery The First Affiliated Hospital of Soochow University  Suzhou Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yao","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery The First Affiliated Hospital of Soochow University  Suzhou Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xie\u2010Xing","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery The First Affiliated Hospital of Soochow University  Suzhou Jiangsu 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