Percutaneous kyphoplasty in treatment of elderly osteoporotic vertebral compression fractures
10.3760/cma.j.issn.1674-6090.2014.03.016
- VernacularTitle:老年骨质疏松性椎体压缩性骨折行经皮椎体后凸成形术疗效分析
- Author:
Wenge SHEN
;
Yongqiang LYU
;
Feng QI
;
Ming ZHANG
- Publication Type:Journal Article
- Keywords:
Osteoporotic vertebral compression fractures;
Elderly patients;
PKP;
PVP
- From:
Journal of Endocrine Surgery
2014;8(3):233-235
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical efficacy of percutaneous kyphoplasty(PKP) in treatment of elderly osteoporotic vertebral compression fractures(OVCF).Methods 122 elderly OVCF patients from Oct.2009 to Oct.2013 in Lihuili Hospital of Ningbo Medical Center were selected,and were randomly divided into group A,and group B.There were 61 cases in each group.Group A received percutaneous kyphoplasty(PKP),and group B were treated with percutaneous vertebroplasty(PVP).The two groups were observed in terms of pain,activity,vertebral compression rate and Cobb angles after treatment.The two groups were followed up at least for 3 months.The postoperative side effects were recorded and analyzed.Results After the treatment,the two groups significantly improved in VAS score and activity(P ＜ 0.05),but no significant difference was found between the two groups (P ＞ 0.05).After the treatment,vertebral compression rate and Cobb angle got better than before in the two groups,but group A recovered more obviously than group B,and the difference had statistical significance (P ＜ 0.05).The postoperative recurrence rate was 18.03 ％ (11/61) in the observation group and 9.84 ％ (6/61) in the control group,and the difference had statistical significance (P ＜ 0.05).Conclusion PKP and PVP can significantly relieve pain,but PKP had better effect than PVP in vertebral body and spinal kyphosis improvement,which is worth of clinical application.
