Unilateral Pedicular Puncture with Lateral Injection for Osteoporotic Vertebral Compression Fractures in the…

Cohort studyIranian journal of medical sciences· Jul 2026

Unilateral Pedicular Puncture with Lateral Injection for Osteoporotic Vertebral Compression Fractures in the Upper and Middle Thoracic Vertebrae: A Technical Report and Efficacy Comparison.

Feng Huang, Yi Hang He, Lu Lin … Zhen Yong Ke

Orthopedic TraumaCohort studyTreatmentQ3IF 1.6

Unilateral pedicular puncture technique was associated with shorter operative time for thoracic vertebral fractures.

Unilateral Pedicular Puncture with Lateral Injection for Osteoporotic Vertebral Compression Fractures in the Upper and Middle Thoracic Vertebrae: A Technical Report and Efficacy Comparison.

Feng Huang … Zhen Yong Ke

Iranian journal of medical sciences · Jul 2026 · Q3 in General Medicine

Background

Percutaneous vertebroplasty (percutaneous vertebroplasty) for upper and middle thoracic osteoporotic vertebral compression fractures (osteoporotic vertebral compression fractures) is challenged by technical difficulties and safety concerns, which drive the need for innovative techniques to optimize its efficacy.

Purpose

The purpose of this study was to delineate the technical characteristics of a novel methodology and to conduct a comparative analysis of its efficacy against bilateral transpedicular puncture percutaneous vertebroplasty.

Methods

Were allocated to either the unilateral transpedicular puncture lateral injection (unilateral transpedicular puncture lateral injection) or the conventional bilateral transpedicular puncture (bilateral transpedicular puncture) group based on the surgical timeline, with earlier cases undergoing bilateral transpedicular puncture and later ones unilateral transpedicular puncture lateral injection.

n = 57 patients

Results

Operative time was shorter with the unilateral technique than with the standard bilateral approach (P=0.002).

UTPLI

18min

BTP

25min

More results

No significant intergroup differences were found in visual analogue scale, oswestry disability index, kyphosis angles (vertebral, segmental, thoracic), vertebral heights (anterior, middle, posterior), baseline data, bone cement leakage, cement dispersion index, or spatial distribution scores, either preoperatively or postoperatively (P>0.05).

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Conclusion · 1 of 2

The unilateral transpedicular puncture lateral injection technique is a viable alternative to bilateral transpedicular puncture percutaneous vertebroplasty for upper and middle thoracic osteoporotic vertebral compression fractures.

Conclusion · 2 of 2

It reduced operative time and blood loss while achieving comparable outcomes.

Unilateral Pedicular Puncture with Lateral Injection for Osteoporotic Vertebral Compression Fractures in the Upper and Middle Thoracic Vertebrae: A Technical Report and Efficacy Comparison.

Unilateral Pedicular Puncture with Lateral Injection for Osteoporotic Vertebral Compression Fractures in the Upper and Middle Thoracic Vertebrae: A Technical Report and Efficacy Comparison.

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