PVP与PKP在治疗骨质疏松性椎体压缩骨折的临床效果及患者VAS ODI指数影响

doi:10.3969/j.issn.1006-6233.2018.07.001

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Abstract Objective: To analyze the clinical effect of PVP and PKP in the treatment of osteoporotic vertebral compression fractures and the influence on VAS and ODI, and to explore its clinical applicability. Methods: 86 patients with osteoporotic vertebral compression fractures were selected from January 2015 to January 2017 in our hospital, and they were simple randomly divided into the observation group of 43 cases and the control group of 43 cases by the number of hospitalized. The control group was given PVP treatment, and the observation group was treated with PKP. The patients in the two groups were followed up for 10 months. And the operation situation of the two groups of patients, recovery of vertebral body (Cobb angle and vertebral compression rate) before and after surgery were observed; and VAS and ODI were used to evaluate the improvement of vertebral function and bone cement leakage in the two groups. Results: The patients with operation process of two groups were very smooth, no nerve root and spinal cord injury and death and other adverse events, during the operation of the patients of two groups were successfully punctured, the observation group of unilateral puncture 25, bilateral puncture 18; control group with unilateral puncture 26, bilateral puncture 17.The operation time and the amount of bone cement in the observation group were higher than those in the control group (P<0.05). The patients with anterior Cobb angle of two groups, vertebral compression rate, VAS and ODI were no different before the surgery (P>0.05). Cobb angle, vertebral compression rate, VAS score and ODI index of the patients of two groups after treatment were significantly decreased (P<0.05); and the examination indexes in the observation group and the control group of patients after surgery were no significant difference (P>0.05), but after 10 months of follow-up, the observation group of patients with Cobb angle and the vertebral compression rate and VAS score was slightly lower than that of the control group (P<0.05). The patients in the observation group after bone cement leakage occurred in 2.33%, 13.95% in the control group and the difference was statistically significant (χ²=3.8912, P=0.0486). Conclusion: The clinical effect of PVP and PKP in the treatment of osteoporotic vertebral compression fractures are significantly, and the postoperative effect is the same, but the fracture healing is good. The incidence of cement leakage is low of PKP by followed up postoperatively, and the long-term prognosis effect is obvious.

Key words： PKP PVP Osteoporosis Compression fracture

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	LI Zesen
	ZENG Qiao

Cite this article:

LI Zesen,ZENG Qiao. Clinical Effect of PVP and PKP in the Treatment of Osteoporotic Vertebral Compression Fractures and Its Influence on VAS and ODI Index of Patients[J]. HeBei Med, 2018, 24(7): 1057-1059.

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2018.07.001 OR http://www.hbyxzzs.cn/EN/Y2018/V24/I7/1057

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