两种不同手术方法治疗老年骨质疏松脊柱压缩性骨折的疗效与安全性比较

目的研究两种不同手术方法治疗老年骨质疏松脊柱压缩性骨折的疗效与安全性。方法选取2012年3月～2017年12月我院收治的骨质疏松脊柱压缩性骨折老年患者102例,随机分为研究组和对照组,每组51例,研究组采取PKP手术治疗,对照组行PVP手术,比较两组手术前后VAS评分、ODI评分、后凸Cobb角和椎体前缘高度的变化,记录术后并发症发生情况。结果术后1个月、3个月和1年,两组患者VAS和ODI评分均低于术前,差异有统计学意义(P0.05);术后两组VAS评分和ODI评分比较,差异无统计学意义(P0.05);术后1个月、3个月以及1年,两组患者后凸Cobb角比术前小,椎体前缘高度比术前大,差异有统计学意义(P0.05)。术后两组后凸Cobb角和椎体前缘高度差异无统计学意义(P0.05);研究组患者术后并发症总发生率明显低于对照组,差异有统计学意义(P0.05)。结论在治疗老年骨质疏松椎体压缩性骨折方面,PKP与PVP术均具有良好的疗效,可有效缓解疼痛,复位椎体,改善椎体功能障碍,在安全性方面,PKP术略优于PVP术。

Comparison of efficacy and safety between two different surgical methods in the treatment of senile osteoporotic spinal compression fractures

Objective To study the efficacy and safety of two different surgical methods in the treatment of senile osteoporotic spinal compression fractures.Methods A total of 102 elderly patients with osteoporotic spinal compression fractures admitted in our hospital from March 2012 to December 2017 were randomly divided into study group and control group,with 51 cases in each group.The study group received PKP surgery and the control group received PVP surgery.The changes of VAS score,ODI score,Cobb angle and vertebral leading edge height between two groups were compared before and after operation.The postoperative complications were recorded.Results The VAS and ODI scores of the two groups at 1 month,3 months and 1 year after operation were lower than those before operation(P<0.05).There was no statistically significant difference in VAS score and ODI score between the study group and the control group after operation(P>0.05).The Cobb angle of two groups at 1 month,3 months and 1 year after operation was smaller than that before surgery,and the vertebral leading edge height was larger than that before surgery.The difference was statistically significant(P<0.05).There was no significant difference in the height of Cobb angle and vertebral leading edge height between the two groups after surgery(P>0.05).The total incidence of postoperative complications in the study group was significantly lower than that in the control group(P<0.05).Conclusion In the treatment of senile osteoporotic vertebral compression fractures,both PKP and PVP have good curative effect,which can effectively relieve pain,reduce vertebral body and improve vertebral dysfunction.In terms of safety,PKP is slightly better than PVP.