经皮穿刺椎体成形术结合体位复位在老年胸腰椎压缩性骨折中的应用效果

doi:10.16260/j.cnki.1009-2188.2017.05.014

Chinese Journal of Modern Operative Surgery

2017, Vol. 21

Issue (5): 382-386 DOI: 10.16260/j.cnki.1009-2188.2017.05.014

Clinical Research

Application of Percutaneous Vertebroplasty Combined with Postural Reduction in the Treatment of Thoracolumbar Compression Fractures in the Elderly

CUI Zhigang, ZHANG Deguang, LIU Fuquan

Department of Orthopedics, Pinggu Hospital Affiliated to Beijing Friendship Hospital of Capital Medical University, Beijing101200，China

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Abstract ObjectiveTo study the effect of percutaneous vertebroplasty combined with postural reduction in the treatment of thoracolumbar compression fractures in the elderly.MethodsFrom February 2014 to February 2017, a total of 150 elderly patients with thoracolumbar compression fractures treated in our hospital were selected as the research object, and were randomly divided into two groups, with 75 cases in each. The observation group was treated with percutaneous vertebroplasty (PVP), and the control group was treated with percutaneous kyphoplasty (PKP).ResultsThe total effective rate of the observation group was 94.67%, and the control group was 96%. There was no significant difference in the total effective rate between the groups (P>0.05). There was no significant difference of the postoperative Cobb angle between the two groups (P>0.05). But the compression rate of the anterior and posterior edge of the vertebral body of the observation group was significantly higher than that of the control group (P<0.05). After treatments, the Oswestry dysfunction index and VAS score decreased significantly in each group. But there was no significant difference of the Oswestry dysfunction index and VAS score between these two groups (P>0.05).ConclusionPVP and PKP are both reliable in pain relief and life quality improvement for the thoracolumbar compression fractures patients in the elderly. But it has obvious advantages of the restore of the compressed vertebral body in PKP. While it can achieve wider indications, more simple procedures and relative lower costs of PVP.

Key words： percutaneous vertebroplasty percutanous kyphoplasty spinal fractures osteoprosis

Published: 25 May 2018

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	崔志刚，张德光，刘福全

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崔志刚，张德光，刘福全. Application of Percutaneous Vertebroplasty Combined with Postural Reduction in the Treatment of Thoracolumbar Compression Fractures in the Elderly[J]. Chinese Journal of Modern Operative Surgery, 2017, 21(5): 382-386.

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http://www.surgerychina.com/EN/10.16260/j.cnki.1009-2188.2017.05.014 OR http://www.surgerychina.com/EN/Y2017/V21/I5/382

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