膨胀式椎弓根螺钉治疗中老年骨质疏松性胸腰段脊柱爆裂性骨折的疗效

目的探讨膨胀型椎弓根钉(EPS)结合伤椎普通椎弓根钉固定治疗中老年骨质疏松性胸腰段脊柱爆裂骨折的临床疗效。方法选择27例中老年骨质疏松性胸腰段脊柱爆裂骨折患者行后路EPS结合伤椎普通椎弓根钉固定术。术后随访观察椎体前后缘高度改善情况、伤椎Cobb角、术前及术后视觉疼痛评分(VAS)、椎弓根螺钉稳定性及脊柱融合情况,术后Beaujon-Lassale功能评分。结果 27例患者术后随访18~31〔平均(24±2.7)个月〕,其中5例于术后18~24〔平均(21.5±2.2)个月〕行内固定取出术;所有患者螺钉稳定性及骨融合良好;术后1 w伤椎前、后缘高度、脊柱后凸Cobb角及VAS评分均较术前有显著改善(P<0.05),而末次随访时各项指标与术后1 w比较差异无统计学意义(P>0.05);末次随访时Beaujon-Lassale功能评分为(19.2±2.7)分。随访期间内固定无松动、断裂等;1例患者出现腰背部疼痛症状,予以局部理疗、药物治疗等对症治疗,术后1个月症状完全恢复。结论经后路EPS结合伤椎普通椎弓根钉固定治疗中老年骨质疏松性胸腰段脊柱爆裂骨折在促进骨折愈合、改善疼痛及减少术后后凸畸形方面均具有良好的临床疗效。     

益肾补骨汤联合椎体成形术治疗老年骨质疏松性胸腰椎压缩骨折的临床疗效及对患者生存质量的影响

目的探讨益肾补骨汤联合椎体成形术治疗老年骨质疏松性胸腰椎压缩骨折的临床效果及对生存质量的影响。方法选择该院接受治疗的100例老年骨质疏松性胸腰椎压缩骨折患者,采取计算机单盲分组法随机分为两组,对照组50例采取椎体成形术治疗,观察组50例采取椎体成形术联合益肾补骨汤治疗,比较两组治疗效果、疼痛评分、Oswestry功能障碍指数(ODI)、伤椎前后缘高度、后凸角度、骨密度、生存质量评分、再次骨折发生率。结果观察组治疗优良率高于对照组(P<0.05)。手术后3个月,两组疼痛评分、ODI明显降低,伤椎前后缘高度、骨密度明显增高,后凸角度明显减小,生存质量评分明显增高,且观察组均明显优于对照组(均P<0.05)。随访1年发现,观察组的再次骨折发生率明显低于对照组(P<0.05)。结论椎体成形术联合益肾补骨汤治疗老年骨质疏松性胸腰椎压缩骨折具有显著的临床效果,可有效缓解骨折疼痛,恢复伤椎高度和椎体后凸角度,改善胸腰椎活动功能,还能有效避免再次发生骨折,进而提高患者的生存质量。     

伤椎置钉并椎体内植骨内固定术在胸腰椎骨折治疗中的应用

目的观察伤椎置钉并椎体内植骨内固定术在胸腰椎骨折治疗中的应用效果。方法至少一侧椎弓根完整的胸腰椎骨折26例,予伤椎撬拨复位置钉、椎体内植骨、椎弓根内固定,据胸腰段正侧位片比较术前、术后即刻、术后6个月的椎体高度及Cobb’s角,并评估脊髓神经功能和融合情况。结果术后随访7～28个月。患者术后即刻伤椎椎体前缘高度占正常高度百分比及Cobb’s角优于术前(P均<0.05);伤椎外形恢复满意;按ASIA脊髓神经功能分级,伴神经损伤者15例中,A级1例无恢复,余均改善1～3级(P均<0.05),内固定无失效,植骨皆融合。结论伤椎置钉并椎体内植骨内固定术治疗胸腰椎骨折可重建椎体结构,增强脊柱稳定,近期疗效较好。     

脊柱外固定器治疗胸腰椎骨折的疗效观察

目的探讨新型脊柱外固定器联合伤椎椎体成形术或伤椎植骨治疗胸腰椎骨折的临床疗效。方法回顾分析该院2011-07~2016-07住院治疗221例胸腰椎骨折患者的情况。方法是先应用脊柱外固定器进行骨折复位后分别行椎体成形术(骨质疏松性骨折)或伤椎植骨术(外伤骨折)。依据影像学资料计算术前、术后和末次随访伤椎高度丢失率、后凸Cobb角及视觉模拟评分(visual analogue scale,VAS)。结果 221例患者在行手术治疗后及末次随访时的伤椎高度丢失率、后凸Cobb角及视觉模拟评分均较治疗前有明显改善,差异有统计学意义(P0.05),末次随防结果与治疗后各项指标对比差异无统计学意义。骨水泥渗漏13例,椎体高度丢失11例,无并发神经损伤。无螺钉松动及螺钉断裂病例。结论应用脊柱外固定器治疗胸腰椎骨折创伤小,且安全有效。     

伤椎置钉短节段椎弓根钉内固定治疗胸腰椎骨折脱位疗效分析

目的探讨伤椎置钉短节段椎弓根钉内固定治疗胸腰椎骨折脱位的临床效果。方法 32例胸腰段椎体骨折脱位患者,伤椎置钉短节段内固定,横突间或者椎间植骨,恢复胸腰椎序列,重建塌陷的椎体。通过术前、术后2周及8个月摄X线片,测量伤椎椎体前缘高度的比值和Cobbs角,了解术后骨折复位以及随访期间内固定有无失败和复位丢失情况。结果术后随访7~20个月,患者骨折均达到临床骨性愈合,术后2周伤椎椎体前缘高度的比值和Cobbs角较术前差异有统计学意义（P〈0.05）;术后8个月与术后2周比较无统计学差异（P〉0.05）。结论经伤椎置钉短节段内固定治疗胸腰段骨折脱位是一种有效的手术治疗方法。     

椎弓根钉棒内固定治疗胸腰段骨折脱位的临床研究

目的探讨椎弓根钉棒内固定治疗胸腰段骨折脱位的临床疗效。方法选择50例胸腰段骨折脱位患者,采用椎弓根钉棒内固定治疗,观察内固定前、内固定术即时及随访12个月时脊髓损伤恢复情况,病椎前后缘高度百分比、Cobb角的恢复及并发症发生情况。结果 50例胸腰段骨折脱位患者均获得随访,随访时间为12个月。内固定后即时、随访12个月时,病椎的前后缘高度百分比较内固定前明显提高(P0.01),Cobb角较内固定前明显降低(P0.01),而内固定后即时与随访12个月比较,病椎前后缘高度百分比、Cobb角比较差异无统计学意义(P0.05)。内固定前脊髓损伤主要分布于B级和C级,内固定后即时、随访12个月时主要分布于D级和E级,内固定后即时、随访12个月时脊髓损伤分布与内固定前比较差异有统计学意义(P0.01),而内固定后即时与随访12个月时的脊髓损伤分布差异无统计学意义(P0.05)。结论针对胸腰段骨折脱位患者,采用椎弓根钉棒内固定术治疗,能有效地恢复病椎的高度,促进受损脊髓神经的功能,且疗效稳定,值得临床借鉴。     

老年骨质疏松椎体压缩性骨折的介入治疗

目的 探讨DSA三维路径引导经皮球囊扩张椎体成型术在老年骨质疏松椎体压缩性骨折中的临床应用价值.方法 采用DSA三维路径引导经皮球囊扩张椎体后凸成型术治疗老年骨质疏松性椎体压缩性骨折患者31例(37个椎体),比较术前和术后视觉模拟评分(VAS)及X线片椎体前、中柱高度的变化.结果 本组31例患者均安全完成手术,未发生并发症,术后患者胸腰背部疼痛均明显缓解,VAS术前为(8.2±1.4)分,术后24 h为(2.3±1.1)分,术前术后比较差异显著(P<0.05);椎体前、中柱高度分别由术前(17±0.7)mm、(23±1.4)mm恢复到术后的(21±1.1)mm、(27±0.9)mm,术前术后比较差异显著(P<0.05).结论 DSA三维路径引导经皮球囊扩张椎体后凸成型术治疗老年骨质疏松性椎体压缩性骨折是一种精确、简便、安全、微创的治疗方法.术后可明显缓解疼痛,恢复受损椎体高度,降低骨水泥渗漏风险.     

经皮椎体成形术与非手术治疗老年骨质疏松性胸腰椎体压缩骨折的疗效比较

目的探讨经皮椎体成形术和非手术治疗老年骨质疏松性胸腰椎体压缩骨折的临床效果。方法收集2012年7月至2013年10月在该院就诊且随访时间≥1年的171例胸腰椎单节段骨质疏松性椎体压缩骨折患者,根据治疗方式不同分为PVP组83例和非手术组88例,分别于治疗前后评估疼痛视觉模拟评分(VAS)、后凸矫正率、椎体高度恢复程度、临近椎体骨折发生率等,比较两种治疗方式的临床效果。结果治疗后1 d PVP组和非手术组VAS评分分别为(3.07±0.53)分和(7.03±0.18)分,且PVP组VAS评分较治疗前明显下降;1年后随访分别为(2.51±0.87)分和(2.72±0.97)分,两组间无统计学差异(P0.05),且均较治疗前有改善。PVP组和非手术组后凸矫正率和椎体高度恢复情况1年后随访分别为(54.42±7.06)分和(55.31±11.18)分、(48.50±14.93)分和(46.53±5.74)分,两组间差异均有统计学意义(P0.05)。PVP组在治疗后1个月内出现1例骨折,3个月后4例骨折,6个月后5例骨折,1年后6例骨折,非手术组1年后1例骨折,两组比较有统计学差异(P0.05)。结论PVP组在早期缓解疼痛方面优于非手术治疗组。在远期疗效方面,PVP组和非手术治疗组均可获得明显的疼痛缓解、矫正部分后凸、恢复部分椎体高度。但非手术治疗组的再次骨折发生率小于PVP组,可见非手术治疗亦可以作为手术以外有效的治疗方式。     

椎弓根钉棒系统固定治疗胸腰椎骨折疗效观察

目的分析总结椎弓根钉棒系统固定治疗胸腰椎骨折的优势。方法回顾分析我院行椎弓根钉棒系统内固定治疗胸腰椎骨折50例患者的临床资料,总结手术方法,比较治疗前后受伤椎体前、后缘高度变化、Cobb’s角矫正情况、椎管截面积改善、神经功能恢复情况,利用SPSS16.0进行统计分析。结果与术前比较,术后伤椎前缘和后缘高度、椎管截面积均增加,Cobb’s角减小,神经功能Frankel分级明显改善（P均〈0.01）。结论后路椎弓根钉棒系统内固定治疗胸腰椎骨折疗效确切,值得临床推广应用。     

伤椎置钉GSS系统与传统手术治疗胸腰段脊柱骨折的临床效果比较

目的探讨伤椎置钉GSS系统在胸腰段脊柱骨折患者治疗中的临床应用效果。方法选取该院2010-03~2016-03收治的胸腰段脊柱骨折患者200例,按随机数字表法分为对照组和观察组各100例,对照组采用传统手术进行治疗,观察组采用伤椎置钉GSS系统进行治疗。术后第2周比较两组临床疗效。结果观察组治疗后椎体后缘高度、椎体前缘高度、Cobb角均优于对照组(P0.01);观察组治疗有效率高于对照组,差异均有统计学意义(P0.01)。结论伤椎置钉GSS系统在治疗胸腰段脊柱骨折中可使患者临床症状得到明显改善,可显著提高临床疗效,具有推广应用价值。     

经皮椎体后凸成形术治疗骨质疏松性椎体压缩骨折的临床效果

【摘要】 目的  评估经皮椎体后凸成形术对骨质疏松椎体压缩骨折的临床疗效。 方法  将50例骨质疏松椎体压缩骨折患者随机分为试验组与对照组,试验组患者采取经皮椎体后凸成形术治疗,对照组患者采取常规经皮椎体成形术治疗,比较两组患者视觉模拟评分（VAS）、Oswestry评分以及4项影像学指标（后凸角以及伤椎前缘、中线、后缘高度）变化。 结果  两组患者术后VAS评分均显著下降（P<0.05）,但试验组下降幅度更大（P<0.05）;两组患者术后Oswestry评分均显著下降（P<0.05）,但试验组下降幅度较对照组更大（P<0.05）;试验组患者后凸角以及伤椎前缘、中线、后缘高度术后均显著改善（P<0.05）,而对照组手术前后差异无统计学意义（P＞0.05）。 结论  采用经皮椎体后凸成形术治疗骨质疏松椎体压缩骨折疗效优于经皮椎体成形术,但经皮椎体后凸成形术治疗成本高于经皮椎体成形术。今后应根据患者实际情况选择术式。     

经皮椎体成形术对脊柱椎体高度影响的中长期结果69例5年以上随访

目的评价经皮椎体成形术对脊柱后凸畸形的矫正作用及影响因素。方法对106例(211个椎体)胸腰椎骨质疏松骨折(T_6-L_4)患者行椎体成形术,分析获得5年以上随访的病例。记录骨水泥注入量(填充率)及分布情况,测量手术前后(3～7d)和随访时侧位X线片椎体的前缘、中央、后缘高度和局部后凸角(Cobb角)。根据骨水泥填充率将患者和椎体分为V1组(填充率15%)和V2组(填充率15%),根据骨水泥分布情况将患者和椎体分为D1组(分布满意:正位过中线,侧位达上下终板)和D2组(分布欠佳),进行手术前后与随访时的比较。结果 69例患者(117个椎体)获得随访,病例随访率为65%(椎体随访率为55.5%)。随访时间5.0～8.5年(平均5.9年)。V1组107椎,V2组10椎。D1组97椎,D2组20椎。椎体前缘高度:V1组:术前(18.3±6.3)mm,术后(21.6±5.5)mm,随访时(21.0±5.6)mm;V2组:术前(18.2±4.9)mm,术后(21.4±3.8)mm,随访时(17.1±3.8)mm;D1组:术前(18.2±6.3)mm,术后(21.5±5.5)mm,随访时(21.1±5.6)mm;D2组:术前(18.6±5.7)mm,术后(21.8±4.7)mm,随访时(18.6±5.2)mm。手术前后比较4组差异均有统计学意义(均P0.05)。术后与随访时比较结果显示,V1、D1组P0.05,V2、D2组P0.05。中央高度:V1组:术前(16.0±5.7)mm,术后(20.4±4.9)mm,随访时(19.6±5.1);V2组:术前(14.9±3.5)mm,术后(19.1±2.5)mm,随访时(17.2±2.7)mm;D1组:术前(16.1±5.7)mm,术后(20.5±4.9)mm,随访时(19.8±5.0)mm;D2组:术前(15.4±4.9)mm,术后(19.5±3.9)mm,随访时(17.7±4.5)mm,手术前后比较4组差异均有统计学意义(均P0.05)。术后与随访时比较,V1、D1组P0.05,V2、D2组P0.05。后缘高度:V1组:术前(26.7±4.9)mm,术后(27.4±4.5)mm,随访时(27.1±4.7)mm;V2组:术前(26.1±2.9)mm,术后(26.7±2.9)mm,随访时(26.2±3.1)mm;D1组:术前(26.8±4.8)mm,术后(7.4±4.5)mm,随访时(27.2±4.6)mm;D2组:术前(26.0±4.3)mm,术后(26.8±3.9)mm,随访时(26.3±4.2)mm。手术前后、术后与随访时比较4组差异均无统计学意义(均P0.05)。局部后凸角(Cobb角):V1组:术前(27.1±14.7)°,术后(15.5±11.6)°,随访时(15.9±12.7)°;V2组:术前(26.8±13.3)°,术后(11.2±6.6),随访时(18.8±8.2);D1组:术前(26.9±14.9)°,术后(15.2±11.9)°,随访时(15.7±13.1);D2组:术前(28.0±12.9)°,术后(12.8±7.0)°,随访时(19.0±8.5)。手术前后比较4组差异均有统计学意义(均P0.05)。术后与随访时比较,V1、D1组P0.05,V2、D2组P0.05。结论①椎体成形术对恢复手术椎体高度和纠正后凸畸形有一定作用。②骨水泥填充率15%有可能减少椎体高度中后期丢失的风险。③骨水泥分布不良可增加椎体高度中后期丢失。     

Analysis of the curative effect of percutaneous kyphoplasty in the treatment of osteoporotic vertebral compression fracture with intravertebral clefts

Kummell''s disease is a delayed vertebral collapse fracture caused by posttraumatic osteonecrosis. It is a special type of osteoporotic vertebral fracture in the elderly. This study compares and analyzes the difference in the curative effect of 2 kinds of osteoporotic vertebral compression fracture (OVCF) in the presence of fracture or not in the vertebral body, and provides a clinical reference for the application of percutaneous kyphoplasty (PKP).This research is a kind of retrospective analysis from January 2012 to January 2015, PKP was used to treat 165 patients with osteoporotic vertebral compression fracture. The patients were divided into 2 groups: Intravertebral clefts group (group A) and none-intravertebral clefts group in vertebral body (group B). Bone mineral density (BMD), bone cement injection (BCI), Visual analogue scale (VAS) score before and after surgery, anterior, central and posterior height of vertebral body (before and after surgery) and Cobb angle of injured vertebra (before and after surgery) were compared between the 2 groups.Surgeries for 165 patients in the 2 groups were successfully completed, and 226 fractured vertebrae were performed through bilateral puncture approach to strengthen the vertebral body. Intraoperative injection of bone cement (ml) was 4.25 + 1.29 (range: 2.6–7.8). There were statistically significant differences in bone cement injection quantity between the 2 groups (P < .05), and in bone cement leakage (P > .05) as well as the Postoperative VAS score (P < .05). However, There was no statistical difference in VAS score before surgery between the 2 groups (P > .05). The results indicated that the pain relief degree of OVCF patients without intravertebral clefts is better than that in the vertebral body. No statistical difference was found in Cobb Angle before and after surgery (P > .05), as well as the correction rate of the injured vertebrae before and after surgery (P > .05). There was no statistical difference in the degree of recovery of the anterior, middle and posterior margins of the injured vertebrae after surgery (P > .05).PKP treatment led to better degree of pain relief in OVCF patients without intravertebral clefts, and less bone cement was injected into the surgery.     

Delayed paraparesis after osteoporotic vertebral fracture--with special reference between mechanism of symptoms, fracture level, age and operative methods

We examined the operated 53 cases with delayed paraparesis after osteoporotic vertebral fracture. The causes of the symptoms were complicated and the analysis indicated that the anterior approach should be the first choice, however the posterior approach could be indicated for the following cases ; the main causes are posterior elements, multiple involvement, at middle and lower lumbar level, with severe osteoporosis, with systemic complication, over 80 years old. For high aged and osteoporotic patients, careful analysis of factors causing symptoms and less invasive operation as possible are needed.     

经皮椎弓根螺钉内固定联合椎体成形术治疗高龄胸腰椎压缩骨折的临床观察

目的 评估经皮椎弓根螺钉内固定联合椎体成形术治疗高龄骨质疏松性胸腰椎压缩骨折的临床疗效.方法 201 1年2月至2012年10月,使用经皮椎弓根螺钉内固定联合椎体成形术治疗23例无神经功能损伤的高龄骨质疏松性胸腰椎压缩骨折.术前、术后1d、术后3 m、术后6 m、术后12 m和术后18 m分别对患者进行VAS疼痛评分,通过测量CT矢状位图像获得骨折椎体前缘、中间的椎体高度,并测量伤椎局部矢状位Cobb角.结果 所有患者获得随访,随访时间18～36 m（平均22 m）.患者术后第1天VAS评分和末次随访VAS评分较术前均有明显下降（P＜0.05）.术后第1天伤椎前缘和中间的高度较术前明显增大（P＜0.05）,矢状位Cobb角则由术前（16.5±4.7）°显著下降至（5.7±3.2）°（P＜0.05）.术后随访过程中,给予康复训练指导,发现椎体前缘和中间高度以及Cobb角均无明显变化（P＞0.05）.随访过程中,未发现压缩椎体以及相邻椎体新发骨折出现.结论 经皮椎弓根螺钉内固定联合椎体成形术治疗老年骨质疏松性胸腰椎压缩骨折效果满意,可以防止椎体高度再次丢失和相邻椎体新发压缩性骨折.     

单侧入路经皮椎体后凸成形术治疗老年人脊柱脆性骨折

目的 探讨单侧入路经皮椎体后凸成形术（PKP）治疗老年人脊柱脆性骨折的有效性。方法2009年1月至2011年1月,使用经皮椎体后凸成形PKP工具包治疗20例34个椎体脊椎脆性骨折。记录手术前后椎体前缘高度、Cobb’S角、VAS评分,术后2d、随访末与术前进行比较。并记录并发症。结果20例34个锥体顺利完成单侧PKP手术,手术过程顺利。20例均获随访,随访时间10～20个月,平均15．5个月。术前椎体前缘高度（17．68±3.33）mm,术后（30．94±3．22）mm,术前、术后比较,差异具有统计学意义（P〈0．05）;术前视觉疼痛模拟评分（VAS）（7．154±1．17）分,术后2d及末次随访时VAS分别为（2．204±0．53）分和（2．104±0．45）分,与术前比较,差异均有统计学意义（P〈0．05）,术后2d与末次随访比较,差异无统计学意义（P〉O．05）。Cobb’S角从术前平均（21．53°±5．22°）减小至术后（7．35°±2．16°）,手术前后比较,差异具有统计学意义（P〈0．05）。1例1个椎体术中发生骨水泥外漏至椎管（2．9％）,随访中无明显临床症状。继发骨折2例2个椎体（5．9％）,均再次人院行PKP手术治疗。结论单侧入路PKP是治疗老年脊柱脆性骨折安全有效的方法,与传统双侧PKP相比较,在缓解疼痛、椎体高度恢复、Cobb’S角恢复等效果接近,但能够减少一半患者暴露在放射线中的机会,降低手术费用,减少手术时间,提高老年人生活质量。     

Incidence of vertebral fractures in Thai women and men: A prospective population‐based study

Background: Vertebral fracture is the most common but the least well‐investigated osteoporotic fracture. A population‐based prospective study was conducted to determine incidence of vertebral fracture in Thai older adults. Methods: Lateral thoracic and lumbar spine radiographs obtained in 1997 and 2002 of 322 participants were evaluated morphometrically. Incidence of fracture was considered if the vertebra was determined as normal at baseline and any of the anterior, central, posterior vertebral heights on the follow‐up film showed a decrease of at least 20% or 4 mm compared with baseline height. Results: Incidences of vertebral fracture in women and men were 32.1/1000 and 54.5/1000 person‐year, respectively. Incident rates in men were higher than those in women in all age groups. Incidence increased with age, ranging from 27.4/1000 person‐year at ages 50–59 years to 46.1/1000 person‐year at ages of 70 years or more for women, and 42.3/1000 person‐year at ages 50–59 years to 66.7/1000 person‐year at ages of 70 years or more in men. The incidence was markedly high compared with other studies conducted in white older adults. Thai older adults with incidental vertebral fractures had a much higher proportion of having multiple‐level fractures compared with white older adults. Conclusions: This study showed a remarkably high incidence of vertebral fractures in a Thai population, particularly in men. The main contributing factor for incidental vertebral fracture was likely to be trauma or micro‐trauma associated with strenuous physical activity or work rather than osteoporosis, particularly among the younger age group and men.     

PVP治疗骨质疏松性椎体压缩性骨折对患椎邻近椎体退变和骨折发生率的影响

目的分析经皮椎体成形术（PVP）治疗骨质疏松性椎体压缩性骨折对患椎邻近椎体退变及骨折发生率的影响。方法骨质疏9松性椎体压缩骨折患者51例,随机分为手术组30例和对照组21例,分别采用PVP治疗和保守治疗。通过X线片测算两组治疗前及治疗后1 a患椎上下椎体前缘压缩率、中柱压缩率、后倾角（θ角）。观察治疗后1 a两组患椎邻近椎体的退变情况及骨折发生率。结果手术组术后1 a患椎上下椎体前缘压缩率、中柱压缩率及θ角均较对照组增大（P均〈0.01）。手术组术后1 a发生患椎邻近椎体骨折5例（16.7%）,对照组无邻近椎体骨折发生（P〈0.05）。结论 PVP治疗骨质疏松椎体压缩性骨折可加速患椎邻近椎体退变,并增加邻近椎体骨折的风险。     

Natural changes of traumatic vertebral compression fractures during the first 6 months in patients visiting for disability certificates: A retrospective observational study

To identify the natural changes of traumatic vertebral compression fractures during the first six months in patients visiting for disability certificates after conservative treatment.Data of patients who visited the rehabilitation medicine department of a university hospital for disability certificates concerning traumatic vertebral compression fractures from 2015 to 2018 were reviewed. Those who visited 180 to 210 days after injuries were included, and those who received invasive procedures for compression fractures were excluded. The anterior and posterior heights, local kyphotic angle of compression fractures, and upper and lower vertebrae on initial and follow-up images were measured and compared. Compression ratio was calculated by vertebral body compression ratio and anterior vertebral body compression percentage. Thoracic and lumbar traumatic fractures were also compared.Among 110 patients, 61 patients met the criteria. After six months, the anterior height of compression fractures decreased more than 4 mm, which implies the development of new compression fractures. The compression ratio and local kyphotic angle increased significantly without affecting the upper and lower vertebrae. Thoracic and lumbar compression fractures showed similar changes.Traumatic vertebral compression fractures change significantly during the first six months. This study could warrant 6 months of waiting for issuance of disability certificates for patients with traumatic vertebral compression fractures.