Abstract: | Objectives To analyze the role of rehabilitation guidance combined position reduction in kyphoplasty for osteoporotic vertebral fractures. Methods A total of 68 patients with vertebral osteoporotic fractures admitted to our hospital from August 2018 to May 2019 were selected. They were randomly divided into two groups: combined group (n = 34, rehabilitation guidance combined position reduction and kyphoplasty) and conventional group (n = 34, position reduction and kyphoplasty). The anterior and posterior vertebral height, local Cobb Angle near the sagittal plane of the vertebral body, visual analogue pain (VAS) score and related complications were analyzed before and after surgery at 3 d, 3 months, 0.5 and 1 year. Results The height of anterior vertebral margin after surgery was higher than that before surgery (P < 0.05), and the height of anterior vertebral margin after 12 months in combined group was higher than that in conventional group (P < 0.05). The height of posterior margin of vertebral body after operation was higher than that before operation (P < 0.05), and there was no difference between groups (P > 0.05). The local Cobb Angle of vertebral body near sagittal plane after operation was lower than that before operation (P < 0.05), and there was no difference between the two groups (P > 0.05). The preoperative VAS score was higher than that of the postoperative group (P < 0.05), the VAS score of the conventional group was higher than that of the combined group at 3, 3 and 0.5 months after surgery (P < 0.05), and there was no difference among groups in THE VAS score at 1 year after surgery (P > 0.05). The complication rate of combined group (8.82%) was lower than that of conventional group (17.65%) (P < 0.05). Conclusions In the treatment of vertebral osteoporotic fracture, scientific and adequate rehabilitation guidance can effectively relieve pain and reduce the incidence of complications. |