经皮椎体成形术和经皮球囊扩张椎体后凸成形术治疗老年脊柱压缩性骨折的效果观察

目的：研究经皮椎体成形术（PVP）和经皮球囊扩张椎体后凸成形术（PKP）治疗老年脊柱压缩性骨折的效果。方法选取本院2010年2月～2013年6月收治的老年脊柱压缩性骨折患者70例为研究对象，其中观察组35例，采用PVP，对照组35例，采用PKP。观察两组术后12周及1年的治疗情况。结果观察组显效17例，有效15例，无效3例，总有效率为91.4%，对照组显效18例，有效13例，无效4例，总有效率为88.6%，两组总有效率比较差异无统计学意义（P〉0.05）。术后12周及1年，两组VAS评分较治疗前显著下降（P〈0.05），两组BI评分较治疗前显著升高（P〈0.05），两组VAS评分及BI评分比较差异无统计学意义（P〉0.05）。观察组术前及术后患椎前缘高度及Cobb角比较差异无统计学意义（P〉0.05）；对照组术前及术后患椎前缘高度及Cobb角比较差异有统计学意义（P〈0.05）；术后12周及1年，两组患椎前缘高度及Cobb角比较差异有统计学意义（P〈0.01）。结论 PVP和PKP治疗老年压缩性骨折患者均可恢复患者的日常生活，明显减轻疼痛，且PKP在纠正椎体后凸畸形及患椎前缘高度的疗效更为显著。

Effect observation of percutaneous vertebroplasty and percutaneous kypho-plasty in the treatment of elderly spinal compression fracture

Objective To study effect of percutaneous vertebroplasty and percutaneous kyphoplasty in the treatment of elderly spinal compression fracture. Methods 70 cases of elderly patients with spinal compression fracture were selected as objects,percutaneous vertebroplasty was used in observation group （35 cases）,percutaneous kyphoplasty was applied in control group （35 cases）.The clinical efficacy of two groups after surgery of 12 weeks and 1 year was observed respectively. Results 17 cases were markedly effective,15 cases were effective,3 cases were invalid,total effective rate was 91.4% in observation group,18 cases were markedly effective,13 cases were effective,4 cases were invalid,total effective rate was 88.6% in control group.Total effective rate in two groups was compared,with no staistical difference（P〉0.05）.After surgery of 12 weeks and 1 year,VAS score in two groups was significantly lower than that before surgery re-spectively （P〈0.05）,BI score in two groups was significantly higher than that before surgery respectively （P〈0.05）,VAS and BI score in two groups was compared respectively,with no staistical difference（P〉0.05）.Anterior vertebral height and Cobb angle in observation group before and after surgery was compared respectively,with no staistical difference （P〉0.05）.Anterior vertebral height and Cobb angle in control group before and after surgery was compared respectively,with staistical difference （P〈0.05）.After surgery of 12 weeks and 1 year,anterior vertebral height and Cobb angle in two groups was compared respectively,with staistical difference （P〈0.01）. Conclusion Percutaneous vertebroplasty and percutaneous kyphoplasty in the treatment of elderly spinal compression fracture can rebuild the ability of patients’ daily lives,significantly reduce the pain,and percutaneous kyphoplasty has significant effect in vertebral kyphosis correction.