The effect comparison of two surgical methods on VAS score, vertebral height and Cobb angle in patients with osteoporotic spinal fractures

doi:10.3877/cma.j.issn.2095-655X.2015.04.015

Abstract

Abstract:

Objective

To compare the clinical efficacy of percutaneous kyphoplasty (PKP) and percutaneous vertebroplasty (PVP) in patients with osteoporotic vertebral fractures.

Methods

Forty patients with osteoporotic vertebral fractures were treated in People′s Hospital of Jiaozhou from February 2010 to March 2013, of which the control group of twenty cases was treated by PVP surgical treatment, while the observation group of twenty patients was treated by PKP treatment.

Results

Six months after surgery, VAS score, vertebral height and Cobb angle in the observation group were (1.32±0.69), (1.93±0.25)cm and (16.43±5.23)°respectively, which were all improved than those in the control group[(3.13±0.99), (1.67±0.23)cm, (21.09±5.68)°], and the differences between the two groups were statistically significant(t=2.74, 2.94, 3.11; P<0.05).

Conclusions

PKP has very important effect on the treatment of osteoporotic fractures, not only effectively alleviating the degree of pain in elderly patients with osteoporosis, but also benefiting vertebral height restoration and kyphosis correction, promoting the recovery prognosis of patients.The treatment effect of PKP is superior to PVP, and it is worth of clinical application.

Key words: Percutaneous kyphoplasty, Percutaneous vertebroplasty, Osteoporotic vertebral fractures

Wenjie Zhou, Xiao Han, Yuping Han. The effect comparison of two surgical methods on VAS score, vertebral height and Cobb angle in patients with osteoporotic spinal fractures[J]. Chinese Journal of Diagnostics(Electronic Edition), 2015, 03(04): 279-281.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhzdxdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-655X.2015.04.015

https://zhzdxdzzz.cma-cmc.com.cn/EN/Y2015/V03/I04/279

Figures/Tables 3

References 15

[1]	谢清华. 椎体后凸成形术治疗骨质疏松性脊柱骨折的临床分析[J]. 中国当代医药, 2013, 20(32): 176-177.
[2]	Baroud G,Crookshank M,Bohner M. High viscosity cement significantly enhances uniformity of cement filling in vertebra lastly：anexper-imentalmodel and study on cement leakage [J]. Spine, 2013, 31(22): 2562-2568.
[3]	朱爱祥,朱裕成,郑红兵, 等. 单侧与双侧经皮椎体后凸成形术治疗骨质疏松性椎体骨折疗效比较[J]. 临床骨科杂志, 2010, 13(2): 132-134.
[4]	Rho YJ,Choe WJ,Chun WJ, et al.Risk facturs predicting the new symptomatic vertebral compression fractures after percutaneous vertebroplasty of kyphoplasty[J]. Eur Spine J, 2012, 21(5): 905-911.
[5]	何家强. 球囊扩张椎体后凸成形术治疗老年骨质疏松脊柱骨折的疗效[J]. 中国药物经济学, 2014, 21(9): 77-78.
[6]	李勤,卢敏惠,郑昌坤. 经皮椎体后凸成形术单侧与双侧穿刺治疗骨质疏松性骨折的临床疗效[J]. 武汉大学学报(医学版), 2012, 33(4): 567-570.
[7]	刘国泰,张志强,刘杰, 等. 两种术式治疗骨质疏松性股骨颈骨折疗效对比[J]. 中国中医骨伤科杂志, 2013, 21(8): 31-32.
[8]	姚杰,秦利,杨勇. 经皮椎体成形术治疗骨质疏松性椎体骨折的临床探讨[J]. 中国伤残医学, 2013, 21(11): 83-85.
[9]	江伟. 椎体成形术和后凸成形术治疗骨质疏松性脊柱骨折疗效分析[J]. 检验医学与临床, 2013, 10(19): 2585-2586.
[10]	Belkof SM,Mathis JM,Erbe EM, et al.Biomechanical evaluation of a new bone cement for use in vertebroplasty[J]. Spine, 2000, 25(9): 1061-1064.
[11]	王冰,朱裕成,马军, 等. 经皮椎体后凸成形术在治疗多节段骨质疏松性椎体压缩骨折的应用[J]. 临床骨科杂志, 2012, 15(1): 18-19.
[12]	Gradas F,Depriester C,Cayrolle G, et al.Long-term observations of vertebral osteoporotic fractures treated by percutaneous vertebroplasty [J]. Rheumatology (Oxford), 2000, 39(12): 1410-1414.
[13]	王树金,孔丹辉,吴树华, 等. 经皮椎体成形术治疗胸腰椎骨质疏松性压缩骨折疗效分析[J]. 中华临床医师杂志, 2014, 8(18): 3411-3412.
[14]	干旻峰,杨惠林,邹俊, 等. 椎体后凸成形术治疗椎管内骨块占位的骨质疏松性脊柱骨折[J]. 苏州大学学报(医学版), 2010, 30(6): 1132-1133.
[15]	刘显翠,郭进贤,陶风海. 经皮椎体成形术治疗骨质疏松性胸腰椎压缩骨折的临床体会[J]. 中国医药指南, 2014, 12(21): 190-191.

组别	例数	手术前	术后6个月	t值	P值
对照组	20	8.73±2.84	3.13±0.99	3.19	P<0.05
观察组	20	8.82±2.78	1.32±0.69	4.88	P<0.05
t值	?	0.37	2.74	?	?
P值	?	>0.05	<0.05	?	?

组别	例数	手术前	术后6个月	t值	P值
对照组	20	8.73±2.84	3.13±0.99	3.19	P<0.05
观察组	20	8.82±2.78	1.32±0.69	4.88	P<0.05
t值	?	0.37	2.74	?	?
P值	?	>0.05	<0.05	?	?

组别	例数	手术前	术后6个月	t值	P值
对照组	20	1.59±0.24	1.67±0.23	2.01	P<0.05
观察组	20	1.61±0.23	1.93±0.25	3.82	P<0.05
t值	?	0.73	2.94	?	?
P值	?	>0.05	<0.05	?	?

组别	例数	手术前	术后6个月	t值	P值
对照组	20	1.59±0.24	1.67±0.23	2.01	P<0.05
观察组	20	1.61±0.23	1.93±0.25	3.82	P<0.05
t值	?	0.73	2.94	?	?
P值	?	>0.05	<0.05	?	?

组别	例数	手术前	术后6个月	t值	P值
对照组	20	28.18±5.29	21.09±5.68	3.35	<0.05
观察组	20	28.98±5.34	16.43±5.23	4.72	<0.05
t值	?	0.92	3.11	?	?
P值	?	>0.05	<0.05	?	?

Please choose a citation manager

Content to export