Effect of cement reinforced pedicle screw fixation in the treatment of osteoporotic thoracolumbar vertebrae fracture and its effect on quality of life
10.3760/cma.j.issn.1008-6706.2019.09.003
- VernacularTitle: 骨水泥强化椎弓根螺钉固定治疗骨质疏松性胸腰椎骨折的效果及对患者生存质量的影响
- Author:
Tianliang LU
1
;
Yuewu HAN
Author Information
1. Department of Orthopaedics, Shanxi Coal Central Hospital, Taiyuan, Shanxi 030006, China
- Publication Type:Journal Article
- Keywords:
Osteoporotic fractures;
Spinal fractures;
Bone nails;
Bone cement;
Pedicle screw;
Treatment outcome;
Quality of life
- From:
Chinese Journal of Primary Medicine and Pharmacy
2019;26(9):1033-1036
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe and evaluate the clinical effect of cement reinforced pedicle screw fixation in the treatment of osteoporotic thoracolumbar fractures and its effect on the quality of life.
Methods:From April 2015 to June 2017, 60 patients with osteoporotic thoracolumbar fractures were selected from Shanxi Coal Center Hospital.The patients were divided into two groups according to different treatment method, with 30 cases in each group.Routine percutaneous vertebroplasty was performed in the control group, and bone cement reinforced pedicle screw fixation was performed in the observation group.The scores of health and function, life satisfaction score, the scores of social and economic factors, self-concept score, visual analogue scale (VAS) and Cobb's angle were calculated and evaluated before operation and 6 months after operation in the two groups.
Results:The scores of health and function, life satisfaction, social and economic factors, self-concept in the observation group at 6 months after operation were (60.2±6.0)points, (39.8±4.0)points, (32.0±3.5)points, (47.7±4.0)points, respectively, which were significantly higher than those in the control group[(48.0±5.5)points, (32.4±3.0)points, (29.3±2.0)points, (44.0±3.3)points], the differences were statistically significant (t=8.988.106, 3.668, 3.908, all P<0.05). The VAS score in the observation group was significantly lower than that in the control group at 6 months after operation[(1.5±0.4)points vs.(2.3±0.8)points](t=4.898, P<0.05). The Cobb angle of the observation group[(5.3±1.0)°] was significantly lower than that of the control group[(14.0±2.2)°] at 6 months after operation (t=19.718, P<0.05).
Conclusion:Treatment of osteoporotic thoracolumbar vertebrae fracture with bone cement reinforced pedicle screw fixation has better clinical effect and can obviously improve the quality of life.
