Effects of Percutaneous Kyphoplasty on Osteoporosis Vertebral Compression Fractures in Elderly
10.3969/j.issn.1006-9771.2016.08.020
- VernacularTitle:经皮椎体后凸成形术治疗老年骨质疏松性椎体压缩骨折的效果
- Author:
Xiaoqing WANG
;
Xueyuan WU
;
Zhankui JIN
;
Yanhai CHANG
- Publication Type:Journal Article
- Keywords:
vertebral compression fracture;
osteoporosis;
percutaneous kyphoplasty;
bone cement;
complication
- From:
Chinese Journal of Rehabilitation Theory and Practice
2016;22(8):977-980
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the clinical effect and safety of percutaneous kyphoplasty (PKP) on osteoporosis vertebral compres-sion fractures (OVCF) in elderly. Methods From January, 2014 to May, 2015, 88 patients with OVCF treated with PKP were retrospective studied. Visual Analogue Scale (VAS) and Oswestry Dysfunction Index (ODI) were used to evaluate the pain and quality of life, and the ky-photic angle (Cobb's angle) and anterior vertebral body height were recorded before operation, one week after operation and the last fol-low-up. The cement leakage and its effect on nerve function were recorded. Results Bone cement leakage was found in eleven patients, in which two in pedicle, three in venous leakage, three in intervertebral disc and three in vertebral posterior. Nerve root symptoms appeared in one patient, who was treated with decompression. The scores of VAS and ODI, and the Cobb's angel were significantly lower (t>29.518, P<0.001), and the vertebral body height was significantly higher (t>35.173, P<0.001) one week after operation and the last follow-up than be-fore operation. Conclusion PKP is safe and effective for OVCF in elderly. It can efficiently reduce the pain, correct kyphotic deformity and improve the quality of life.
