腰背肌功能锻炼对原发性骨质疏松性胸腰椎骨折椎体高度影响的观察

目的 评价腰背肌功能锻炼对原发性骨质疏松性胸腰椎骨折伤椎高度的影响.方法 选择90例原发性骨质疏松性胸腰椎疼痛初发骨折患者,运用腰背肌功能锻炼配合中西药治疗,并观察骨折椎体高度的变化等指标.结果 治疗过程无不良事件发生,治疗1个月后骨折椎体的前缘、中央和后缘高度平均恢复分别是(2.92±2.01)mm、(2.36±1.89)mm及(1.09±1.03)mm,前缘、中央和后缘高度较治疗前明显增加(P<0.05),3个月后骨折椎体高度丢失不明显(P>0.05).结论 腰背肌功能锻炼对原发性骨质疏松性胸腰椎骨折伤椎高度恢复的近期效果良好,远期疗效有待进一步随访观察.

Influence of functional exercise of the lumbodorsal muscles on the vertebral body height of primary thoracolumbar vertebral osteoporotic fracture

Objective To evaluate the influence of functional exercise of the lumbodorsal muscles on the vertebral body height of primary thoracolumbar vertebral osteoporotic fracture.Methods Ninety patients with primary thoracolumbar vertebral osteoporotic fracture were treated with functional exercise of lumbodorsal muscles and with the Chinese and western medicine as the adjunct treatment,aiming at observing the changes of vertebral body height.Results There was no adverse events to be found -in the course of treatment.After 1 month,the average vertebral height restoration of the anterior edge,middle and posterior edge were(2.92±2.01) mm,(2.36±1.89) mm and (1.09±1.03)mm.When comparing pre-treatment with after treatment,the anterior edge,middle edge and posterior edge vertebral height restoration were different(P<0.05).After 3 months,there were not evident of the loss of vertebral body height.Conclusion Functional exercise of the lumbodorsal muscles for primary thoracolumbar vertebral osteoporotic fracture have obvious short-term efficiency,but long-term effect needs further follow-up observation.