Correlation between spinal sagittal balance and quality of life after treatment of percutaneous kyphoplasty in osteoporotic vertebral compressive fracture
10.3969/j.issn.1006-5725.2018.12.021
- VernacularTitle:经皮椎体后凸成形治疗骨质疏松性椎体压缩骨折后脊柱-骨盆矢状位平衡变化及其与生存质量的相关性
- Author:
Tao LIU
1
;
Haoxi LI
;
Shuiqiang QIU
;
Xinhua LI
;
Zhi-Gang XU
;
Jisheng GU
;
Zhendong LUO
;
Desheng WU
Author Information
1. 上海市虹口区江湾医院骨科
- Keywords:
vertebral compressive fracture;
osteoporosis;
percutaneous kyphoplasty;
spinal-pelvic sagittal balance;
quality of life
- From:
The Journal of Practical Medicine
2018;34(12):2007-2011
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the correlation between spinal sagittal balance and quality of life after the treatment of percutaneous kyphoplasty in osteoporotic vertebral compressive fractures. Methods We retrospec-tively enrolled and screened 85 patients with osteoporotic vertebral compression fractures(OVCF),treated by per-cutaneous kyphoplasty(PKP)in spinal surgery department of Shanghai East Hospital from January 2012 to Decem-ber 2016. The full length of the spine X-ray examinations had been taken preoperatively,pre-discharge and during the follow-up and spine-pelvis sagittal parameters included C7 sagittal vertical axis(C7SVA),thoracic kyphosis (TK),lumber lordosis(LL),pelvic incidence(PT)and sacral slope(SS). Shot Form 36 Health Survey Question-naire(SF-36)was used for the scoring. Results In the last follow-up,C7SVA decreased from(35.9 ± 17.1)mm to(30.8 ± 12.8)mm(P=0.002)and SF-36 scores varied significantly(P<0.01). Before the surgery,follow-up 3 days,6 months and 12 months after the surgery,C7SVA was negatively correlated with the general health status in each period of SF-36(r=-0.343,-0.264,-0.272,-0.258;P=0.001,0.015,0.012,0.017). Conclusions PKP has a significant effect on OVCFs and changes the spine-pelvic sagittal balance in patients with OVCF. Spinal-pel-vic sagittal balance is closely related to the quality of life of these patients.
