1.Therapeutic Observation of General Balance Therapy for Cervical Spondylosis of Nerve Root Type
Laiyong ZOU ; Guoqing TU ; Yuhui ZHU
Shanghai Journal of Acupuncture and Moxibustion 2015;(11):1099-1101
Objective To observe the clinical efficacy of general balance therapy in treating cervical spondylosis of nerve root type.Method Totally 120 patients with cervical spondylosis of nerve root type were randomized into a treatment group and a control group, 60 cases in each group. The treatment group was intervened by general balance therapy (balance needling plus balance tuina manipulations), while the control group was by ordinary acupuncture and tuina manipulations. The cervical movement ranges were observed before and after the treatment, and the clinical efficacies were compared between the two groups. Result The cervical movement ranges (forward flexion, backward extension, lateral flexion, and turning range) were significantly changed in both groups after the treatment (P<0.05). The cervical movement ranges of the treatment group were significantly different from that of the control group (P<0.05). The total effective rate was 95.0% in the treatment group versus 85.0% in the control group, and the difference was statistically significant (P<0.01).Conclusion General balance therapy is an effective method in treating cervical spondylosis of nerve root type.
2.Diffusion conditions of bone cement in vertebral fracture line influence the therapeutic effects of percutaneous vertebroplasty
Zhenbin WANG ; Laiyong TU ; Aikenmu KAHAR ; Ge CHU ; Wenfei GU ; Jiang ZHAO
Chinese Journal of Tissue Engineering Research 2015;19(21):3281-3286
BACKGROUND:Diffusion conditions of bone cement in vertebral fracture line may be one of the main factors affecting the therapeutic effect of percutaneous vertebroplasty, but there are less related studies. OBJECTIVE:To study the effect of diffusion conditions of bone cement in vertebral fracture line on the therapeutic outcomes of percutaneous vertebroplasty. METHODS: CR and MRI data of 77 patients with T1-L2 osteoporotic vertebral compression fractures, 28 males and 49 females, aged 55-86 years, undergoing percutaneous vertebroplasty were analyzed. Al the patients were divided into test group (n=53, bone cement diffused wel in the vertebral fracture line) and control group (n=24, bone cement dispersion was unsatisfactory). Visual analogue scale, Oswestry disability index and Cobb angle change in the two groups were measured and compared before and after operation. RESULTS AND CONCLUSION:There was no difference in the visual analogue scale score, Oswestry disability index and Cobb angle between the two groups before operation, but these parameters were al improved significantly in the two groups after 2 days and 6 months of operation (P< 0.05). The visual analogue scale score and Oswestry disability index were significantly lower in the test group than the control group at 2 days after operation (P < 0.05), but there was no difference between the two groups at 6 months after operation. The Cobb angle and vertebral colapse rate became lower in the test group than the control group at 6 months after operation (P < 0.05), but there was no difference in the re-fracture rate between the two groups. These findings indicate that poor bone cement dispersion in the fracture line can affect the relief of short-term pain and dysfunction and it can increase the possibility of long-term secondary vertebral colapse.
3.Percutaneous vertebroplasty with high-viscosity bone cement injection for repair of osteoporotic vertebral compression fractures in the elderly:evaluation of vertebral height recovery
Guangxu NIU ; Zhenfeng LIU ; Zhenbin WANG ; Wenfei GU ; Laiyong TU ; Jiang ZHAO
Chinese Journal of Tissue Engineering Research 2015;(38):6126-6132
BACKGROUND:Whether there is a necessary connection or internal patterns between the amount of bone cement-recovery of vertebral height-clinical efficacy has no evidence-based medicine findings in the treatment of osteoporotic vertebral compression fractures using percutaneous vertebroplasty with high-viscosity bone cement injection.
OBJECTIVE: To observe the change of vertebral height in the elderly with osteoporotic vertebral compression fractures after percutaneous vertebroplasty with high-viscosity bone cement injection.
METHODS:A total of 110 elderly patients with osteoporotic vertebral compression fractures (139 vertebrae) were admitted at the Traditional Chinese Medical Hospital of Xinjiang Uygur Autonomous Region from January 2011 to December 2012. Al the patients received percutaneous vertebroplasty by the same group of surgeons. Bone cement at drawing stage was injected into the fractured vertebra. During the 12-month folow-up, visual analogue scale, Barthel index and vertebral height restoration were observed as evaluation indexes.
RESULTS AND CONCLUSION:The surgical treatment was done successfuly in the 110 patients (139 vertebrae). The amount of bone cement per vertebra was 3-6 mL, with a mean of 3.5 mL. At 12 months after surgery, the visual analog scale scores were decreased from 7.9 to 1.8, Barthel index was increased from 40.25 to 82.21, both of which were improved significantly (P < 0.05). After surgery, the vertebral heights at the anterior and middle parts were increased by (81.25±9.26)% and (78.22±10.65)%, respectively, and there was significant differences before ant at 24 hours, 3 months and 12 months after surgery (P < 0.05). During the folow-up, there were five vertebrae with bone cement leakage, but no clinical symptoms occurred, and no nerve injury or pulmonary embolism happened. These findings indicate that percutaneous vertebroplasty with high-viscosity bone cement injection can effectively relieve pain, restore the vertebral height, reduce the incidence of complications and shorten the recovery time in patients with osteoporotic vertebral compression fractures.