Percutaneous puncture kyphoplasty in the treatment of elderly patients with osteoporotic vertebral compression fracture;a report of 23 cases
10.3760/cma.j.issn.1008-6706.2009.08.016
- VernacularTitle:椎体后凸成形术治疗老年人骨质疏松性脊柱骨折疗效观察
- Author:
Xinlai CHEN
;
Long BAI
;
Liangqing CHEN
- Publication Type:Journal Article
- Keywords:
Osteoporosis;
Spinal fractures;
Percutaneous puncture kyphoplasty
- From:
Chinese Journal of Primary Medicine and Pharmacy
2009;16(8):1372-1373
- CountryChina
- Language:Chinese
-
Abstract:
Objective To research the efficacy and safety of percutaneous puncture kyphoplasty in the treatment of elderly osteoporotic vertebral fracture.Methods PkP were performed in 23 patients(34 vertebrae),visual analogue scale(VAS)and mobility were evaluated before and three days after operation.Relief of back pain,recovery of mobility and complications(cement leakage,adjacent vertebral body fractures,etc)were observed in the follow up.Results All patients were successfully performed with immediate relief of their back pain.The mean scores of VAS and mobility 3 days after operation were respectively decreased from(7.5 ±0.7),(2.4 ±0.6)preoperative to(2.5 ±0.6),(1.2 ±0.4)at 3 day after operation with a significant difference(t= 23.8,13.4,P ＜0.01).The patients were followed up for average 15.6 months with satisfactory therapeutic effect,one patient died of heart disease two months after discharge,around vertebral fracture occurred in 4 patients,they were no cement leakage in all the patients.Conclusion PKP is one of the new minimally invasive technologies,which can rapidly relieve pain.PKP is an ideal method in treating elderly osteoporotic spinal compression fractures.
