Application of enhanced recovery after surgery in postoperative rehabilitation of osteoporotic lumbar compression fractures with percutaneous vertebroplasty or percutaneous kyphoplasty.
10.12200/j.issn.1003-0034.2020.12.018
- Author:
Xing CHEN
1
;
Dun WAN
1
;
Xiao-Ming XIONG
1
;
Hua-Gang SHI
1
;
Xuan-Geng DENG
1
;
Tao GU
1
;
Si-Mao SONG
1
;
Wei HOU
1
;
Qing-Long LI
1
Author Information
1. Sichuan Orthopedic Hospital, Chengdu 610041, Sichuan, China.
- Publication Type:Journal Article
- Keywords:
Fractures, compression;
Kyphoplasty;
Lumbar vertebrae;
Osteoporotic fractures;
Vertebroplasty
- MeSH:
Aged;
Enhanced Recovery After Surgery;
Female;
Fractures, Compression/surgery*;
Humans;
Kyphoplasty;
Male;
Middle Aged;
Osteoporotic Fractures/surgery*;
Spinal Fractures/surgery*;
Treatment Outcome;
Vertebroplasty
- From:
China Journal of Orthopaedics and Traumatology
2020;33(12):1179-1183
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To study effects of postoperative regular training of core muscle strength guided by the concept of enhanced recovery after surgery (ERAS) on the rehabilitation of elderly patients with osteoporotic lumbar vertebral compression fracture after vertebroplasty (PVP) and kyphoplasty(PKP).
METHODS:Ninety-four elderly patients with osteoporotic lumbar compression fractures who underwent PKP or PVP from January 2016 to January 2018 and met inclusion criteria were divided into observation group and control group. All the patients were treated with routine anti osteoporosis therapy after operation. There were 47 patients in the observationgroup, including 18 males and 29 females, with an average age of (62.62±3.21) years old;in the control group, there were 47 cases, including 17 males and 30 females, with an average age of (62.38±2.84) years old. The patients in the control group were trained by traditional way, and the patients in observation group were instructed to conduct regular training of core muscle strength according to ERAS concept. The patients were followed up for 1, 3 and 6 months after operation. Patients' conditions were quantitatively evaluated according to Barthel scale, JOA low back pain score and Oswestry Disability Index, and the differences in treatment effects between two groups were statistically analyzed and compared.
RESULTS:All the patients were followed up, and the Barthel scale, JOA low back pain score and Oswestry Disability Index score of the observation group were all better than those of the control group on the 1st and the 3rd months after surgery(
CONCLUSION:Early regular core strength training has a positive effect on early functional recovery and improvement of life ability after PKP or PVP for elderly patients with osteoporotic lumbar compression fractures, which is in line with the concept of accelerated rehabilitation surgery.
