Effect of percutaneous vertebroplasty in the treatment of elderly patients with thoracolumbar compression fractures
10.3760/cma.j.issn.1008-6706.2018.21.002
- VernacularTitle:经皮椎体成形术在高龄胸腰椎压缩性骨折患者治疗中的效果分析
- Author:
Yiting SONG
1
;
Jianwu YAN
Author Information
1. 慈溪市慈林医院骨科
- Keywords:
Fractures,compression;
Spinal fractures;
Percutaneous vertebroplasty;
Aged;
Controlled clinical trial
- From:
Chinese Journal of Primary Medicine and Pharmacy
2018;25(21):2726-2729
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the clinical effect of percutaneous vertebroplasty(PVP) in the treatment of elderly patients with thoracolumbar vertebral compression fractures.Methods From September 2014 to September 2015,70 elderly patients with vertebral compression fractures in Cilin Hospital were selected and randomly divided into two groups according to the digital table,with 35 cases in each group.The control group received conservative treatment,the study group was given PVP treatment.Before and after treatment,the visual analogue scale (VAS),functional independence measure(FIM) score were compared between the two groups.The loss of vertebral height,vertebral height restoration of anterior and posterior margin,Cobb angle correction and quality of life(SF-36) score changes were compared between the two groups.Results After treatment,the VAS score,FIM score of the study group were (3.46 ± 0.25) points,(67.94 ± 5.48) points,which of the control group were (5.02 ± 0.13) points,(51.49 ± 3.84) points,there were statistically significant differences between the two groups (t =32.75,14.54,all P ＜ 0.05).The vertebral height lost,vertebral height restoration and margin,Cobb angle correction in the study group were (4.90 ± 0.23) mm,(93.84 ± 1.12) ％,(11.21 ± 0.24) °,respectively,which were better than those in the control group (t =34.67,101.31,190.57,all P ＜ 0.05).The SF-36 scores between the two groups had statistically significant differences(all P ＜ 0.05).Conclusion PVP in the treatment of elderly patients with thoracolumbar compression fractures has good effect,it can help to relieve the pain,improve the quality of life of patients.
