Effectiveness of vertebroplasty for osteoporotic vertebral compression fractures in the elderly aged 90 years and over
10.3760/cma.j.issn.0254-9026.2021.06.017
- VernacularTitle:90岁及以上老年人脊柱椎体压缩骨折经椎体成形术治疗后疗效分析
- Author:
Nan MIN
1
;
Qiwei ZHANG
;
Qiang WANG
;
Lin WANG
;
Quan JI
;
Liangyuan WEN
;
Hongbing XU
Author Information
1. 北京医院骨科 国家老年医学中心 中国医学科学院老年医学研究院 100730
- Keywords:
Longevity;
Fractures, compression;
Vertebroplasty
- From:
Chinese Journal of Geriatrics
2021;40(6):770-773
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical effectiveness of vertebroplasty for osteoporotic vertebral compression fractures in the elderly aged 90 years and over.Methods:Clinical data of 64 elderly patients aged 90 years and over who had undergone percutaneous vertebroplasty for vertebral compression fractures between January 2015 and January 2021 were retrospectively analyzed.Changes in preoperative and postoperative pain, intraoperative bone cement leakage, postoperative pneumonia, bedsores, urinary tract infections, lower extremity venous thrombosis and changes in preoperative and postoperative physical mobility were evaluated.Pain scores, physical mobility scores, bone cement extravasation and complications such as re-fractures of the vertebral body, postoperative pneumonia, bedsores, urinary tract infections and thrombosis were recorded before surgery, 3 and 30 days after surgery.Results:The visual analogue scale(VAS)scores of 64 patients before surgery, 3 and 30 days after the procedure were 8.34±1.12, 2.17±1.45 and 1.83±1.15, retrospectively( F=540.876, P<0.01). The physical mobility scores before surgery, 3 and 30 days after the procedure were 2.83±0.94, 1.59±0.70 and 1.39±0.60, retrospectively( F=65.492, P<0.01). There were 18 cases(28.13%)of bone cement leakage during surgery, 4 cases(6.25%)of pneumonia within 30 days after surgery, 9 cases(14.06%)of urinary tract infections, 3 cases(4.69%)of lower extremity venous thrombosis, 1 case(1.56%)of bedsores, and 2 cases(3.13%)of vertebral re-fractures after surgery.No patient died during the 30-day follow-up. Conclusions:Percutaneous vertebroplasty can reduce pain and improve physical mobility and is an effective and safe minimally invasive treatment for elderly patients with spinal compression fractures aged 90 years and over.
