Clinical effect observation of percutaneous vertebroplasty and percutaneous kyphoplasty in the treatment of osteoporotic thoracolumbar vertebral compression fractures
CHEN Xu-hong1 WANG Ju2 LIU Yang-can1 XIE Shi-long1 YANG Lin1
1.The Third People′s Hospital of Longgang District in Shenzhen City,Guangdong Province,Shenzhen 518115,China;
2.Guangdong Yanling Hospital of Guangzhou City,Guangdong Province,Guangzhou 510507,China
Abstract：ObjectiveTo explore the clinical efficacy of percutanous vertebroplasty(PVP)and percutanous Kyphoplasty (PKP)in patients with osteoporotic thoracolumbar vertebral compression fractures.MethodsFrom October 2015 to October 2016,120 patients with osteoporotic thoracolumbar vertebral compression fractures were enrolled in this study,and were treated with surgical treatment,and all patients were divided into the PVP group(n=60)and the PKP group(n=60) according to the procedure of patients′selection.Patients in the PVP group were treated with vertebroplasty.The patients in the PKP group were treated with kyphoplasty.The operation status of the patients was analyzed statistically.The patients were followed up for 6 months,and the postoperative rehabilitation status and operation safety of the two groups were analyzed statistically.ResultsThere was no significant difference between the two groups in the amount of bleeding and the operation time(P＞0.05).The hospitalization expenses in the PKP group was higher than that in the PVP group,with significant difference(P＜0.05).The vertebral height of the two groups at 6 months after operation was significantly higher than that before operation,and the Cobb angle of the scoliosis of the two groups at 6 months after operation was less than that before operation,and the pain condition of the two groups at 6 months after operation was lower than that before operation,with significant difference(P＜0.05).The vertebral height of the PKP group at 6 months after operation was higher than that in the PVP group,with significant difference(P＜0.05).There was no significant difference in the Cobb angle and pain score between the two groups at 6 months after operation (P＞0.05).There was no significant difference in the incidence rate of complication between the two groups(P＞0.05).ConclusionThe prognosis of patients with osteoporotic thoracolumbar vertebral compression fractures treated with PKP is better,but the cost of treatment is higher.
Kim YJ，Lee JW，Kim KJ.Percutaneous vertebroplasty for intravertebral cleft：analysis of therapeutic effects and outcome predictors[J].Skeletal Radiol，2010，39（8）：757-766.
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