{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T12:40:10Z","timestamp":1777466410910,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2024,9,13]],"date-time":"2024-09-13T00:00:00Z","timestamp":1726185600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Back and Musculoskeletal Rehabilitation"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:sec specific-use=\"heading-level-1\">\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Severe osteoporotic vertebral compression fracture (SOVCF) is frequently complicated by endplatedisc complex (EDC) injury. While percutaneous kyphoplasty (PKP) can offer rapid analgesia and facilitate early activity, it does not restore vertebral height and may result in intervertebral leakage and untreated EDC injury.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec specific-use=\"heading-level-1\">\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>This study aimed to evaluate the clinical outcomes of percutaneous functional spinal unit cementoplasty (PFSUP) for SOVCF complicated by EDC injury and compare its clinical and imaging outcomes with PKP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec specific-use=\"heading-level-1\">\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>This was a retrospective case-control study. Patients with SOVCF complicated with EDC injury between January 1, 2018, and December 31, 2019, were recruited and assigned to the PKP group and PFSUP group based on their treatment procedures Back pain was evaluated using the visual analog scale (VAS) and daily life activities were assessed using the Oswestry disability index (ODI). X-rays were employed to observe the presence and location of cement leakage, as well as to measure the sagittal vertical axis (SVA) and local kyphosis angle (LKA). Loss of correction was calculated by subtracting the LKA after surgery from that at the final follow-up visit Subsequent vertebral fracture (SVF) was confirmed using the Genant semi-quantitative method and\/or MRI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec specific-use=\"heading-level-1\">\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>\n                      A total of 64 patients were included in this study. Among them 41 cases were assigned to the PKP group (28 females, 74.8 years on average), while the remaining 23 cases were assigned to the PFSUP group (15 females, 76.3 years on average). All surgical interventions were successfully completed without major complications. Compared to the PKP group, the PFSUP group had longer operation time (70.28 \u00b1 11.44 vs 44.5 \u00b1 10.12,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001) higher frequencies of radiation exposure (97.6 \u00b1 19.85 vs 38.6 \u00b1 9.53,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001), and a lower cement leakage rate (26.1% vs. 41.5%,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001). One day after surgery and at the final follow-up the PFSUP group had lower VAS and ODI scores, as well as lower LKA and Sva values compared with the PKP group (all\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001). At the final follow-up visit, the PFSUP group demonstrated a lower loss of correction (4.38 \u00b1 2.71 vs. 10.19 \u00b1 3.41\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001) and a lower SVF rate compared to the PKP group (21.7% vs. 31.7%,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec specific-use=\"heading-level-1\">\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>PFSUP outperformed PKP in alleviating pain restoring and maintaining sagittal balance, and lowering the incidence of cement leakage and SVF for SOVCF with EDC injury However, PFSUP was associated with longer operation time and high radiation exposure frequencies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3233\/bmr-240145","type":"journal-article","created":{"date-parts":[[2024,10,11]],"date-time":"2024-10-11T10:28:57Z","timestamp":1728642537000},"page":"453-461","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Percutaneous functional spinal unit cementoplasty\n                    <i>versus<\/i>\n                    percutaneous kyphoplasty for severe osteoporotic vertebral compression fracture complicated with endplate-disc complex injury: A retrospective case-control study"],"prefix":"10.1177","volume":"38","author":[{"given":"Yuming","family":"Yang","sequence":"first","affiliation":[{"name":"Department of Orthopedics, Xuzhou First People\u2019s Hospital, The Affiliated Xuzhou Municipal Hospital of Xuzhou Medical University, Xuzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ben","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, The Affiliated Huaihai Hospital of Xuzhou Medical University, The 71st Group Army Hospital of CPLA Army, Xuzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Youdi","family":"Xue","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Xuzhou Central Hospital, Xuzhou Clinical School of Xuzhou Medical University, Xuzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weixiang","family":"Dai","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Xuzhou Central Hospital, Xuzhou Clinical School of Xuzhou Medical University, Xuzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,9,13]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/jbmr.5650080915"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-008-0821-8"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A2223"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/BSD.0000000000000941"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-014-3637-8"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-021-04070-6"},{"issue":"1","key":"e_1_3_3_8_2","article-title":"Experiences with PMMA cement as a stand-alone intervertebral spacer: Percutaneous cement discoplasty in the case of vacuum phenomenon within lumbar intervertebral discs","volume":"44","author":"Varga PP","year":"2015","unstructured":"Varga PP, Jakab G, Bors IB, Lazary A, Sz\u00f6v\u00e9rfi Z. Experiences with PMMA cement as a stand-alone intervertebral spacer: Percutaneous cement discoplasty in the case of vacuum phenomenon within lumbar intervertebral discs. Orthopade. 2015; 44(1): S1\u20137. doi: https:\/\/doi.org\/10.1007\/s00132-014-3060-1.","journal-title":"Orthopade."},{"issue":"4","key":"e_1_3_3_9_2","article-title":"Feasibility of Percutaneous Lumbar Discectomy Combined with Percutaneous Cementoplasty for Symptomatic Lumbar Disc Herniation with Modic Type I Endplate Changes","volume":"20","author":"Tian QH","year":"2017","unstructured":"Tian QH, Lu YY, Sun XQ, Wang T, Wu CG, Li MH, Cheng-Ying S. Feasibility of Percutaneous Lumbar Discectomy Combined with Percutaneous Cementoplasty for Symptomatic Lumbar Disc Herniation with Modic Type I Endplate Changes. Pain Physician. 2017; 20(4): E481\u2013E8.","journal-title":"Pain Physician."},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-018-5547-7"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-020-71343-w"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-009-0872-7"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/0284185117725368"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2019.08.029"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-015-3920-3"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2014.07.007"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A0520"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.285.3.320"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.3171\/SPI\/2008\/9\/8\/129"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-014-3021-x"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-016-3222-3"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2016.12.038"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kew327"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3181fc914e"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-007-0564-y"},{"issue":"1","key":"e_1_3_3_26_2","article-title":"Risk Factors for the Occurrence of Insufficient Cement Distribution in the Fractured Area after Percutaneous Vertebroplasty in Osteoporotic Vertebral Compression Fractures","volume":"21","author":"Ye LQ","year":"2018","unstructured":"Ye LQ, Liang D, Jiang XB, Yao ZS, Lu H, Qiu T, Yu WB, Mo L, Zhang SC, Jin DX. Risk Factors for the Occurrence of Insufficient Cement Distribution in the Fractured Area after Percutaneous Vertebroplasty in Osteoporotic Vertebral Compression Fractures. 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