经皮椎体成形和后凸成形治疗老年骨质疏松性椎体骨折的比较

背景：经皮椎体成形和椎体后凸成形作为两种微创治疗技术在骨质疏松性椎体压缩骨折方面的应用多年，但争议颇多，且各有利弊。 目的：比较经皮椎体成形与经皮椎体后凸成形在治疗骨质疏松性椎体压缩性骨折方面的疗效。 方法：纳入100例患者，其中40例患者选择经皮椎体后凸成形手术，60例患者选择经皮椎体成形手术。治疗前按疼痛目测类比评分评定患者的疼痛程度；术后疼痛目测类比评分为术后1周。并摄X射线片测量测量椎体前缘与后缘比。 结果与结论：两组患者治疗后疼痛目测类比评分都有明显下降，与术前比较差异有显著性意义（P〈0.05）；两组患者治疗后椎体高度恢复较治疗前差异有显著性意义，但矫形效果比较，差异无显著性意义（P〈0.05）。治疗后并发症骨水泥渗漏的发生率经皮椎体成形组为35%，经皮椎体后凸成形组为12.5%，两组比较并发症发生率差异有显著性意义（P〈0.05）。经皮椎体成形与经皮椎体后凸成形均可显著缓解骨质疏松性椎体压缩性骨折患者的疼痛；经皮椎体成形组通过术前术中使脊椎过伸可部分恢复椎体高度，经皮椎体成形与经皮椎体后凸成形两组矫形效果差异无显著性意义。

Percutaneous vertebroplasty versus percutaneous kyphoplasty for the treatment of old vertebral osteoporotic compression fracture

BACKGROUND：Pereutaneous vertebroplasty and percutaneous kyphoplasty as the minimal y invasive treatment techniques have been widely used in the treatment of vertebral osteoporotic compression fracture, but there are controversies, and each method has its advantages and disadvantages.
OBJECTIVE：To compare the clinical efficacy between percutaneous vertebroplasty and percutaneous kyphoplasty in the treatment of vertebral osteoporotic compression fracture.
METHODS：100 patients with vertebral osteoporotic compression fracture were col ected, among them, 40 patients received percutaneous vertebroplasty, and 60 patients received percutaneous kyphoplasty. The visual analog scale score was used to assess the pain degree of the patients before treatment;the visual analog scale score was also used at 1 week after treatment. The X-ray film was taken to measure the ratio between anterior and rear edges of vertebrae.
RESULTS AND CONCLUSION：The visual analog scale scores in the two groups were significantly decreased after treatment, and there was significant difference when compared with that before treatment （P〈0.05）;there was significant difference in the restore of vertebral height in two groups when compared with that before treatment, but there was no significant difference in the orthopedic effect between two groups （P〈0.05）. The incidence of complications of bone cement leakage after treatment was 35%in the pereutaneous vertebroplasty group and 12.5%in the percutaneous kyphoplasty group, and there was significant difference in the incidence of complications between two groups （P〈0.05）. Pereutaneous vertebroplasty and percutaneous kyphoplasty can significantly relieve the pain of the patients with vertebral osteoporotic compression fracture, but there is no significant difference in the orthopedic effect between pereutaneous vertebroplasty and percutaneous kyphoplasty.