不同入路椎体后凸成形术治疗老年骨质疏松性椎体骨折的效果观察

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Abstract Objective To compare clinical efficacy of unilateral and bilateral perutaneous kyphoplasty（PKP）for elderly patientswith osteoporotic vertebral compression fractures（OVCF），in order to provide a theoretical basis for the choice of surgical strategy.Methods 78 elderly patientswho suffered OVCFwere included into the research from January 2012 to December 2014.All caseswere randomly divided into control group（n=39 cases）and observation group（n=39 cases）and received unilateral and bilateral PKP.Parameters including operative time，intraoperative blood loss，postoperative and mid-long-term visual analog pain scoring system（VAS）score，the height recovery value of in fanterior edge，middle edge and trailing edge，Cobb angle etc.were compared between two groups.Results There were significant differences between two groups about operative time，intraoperative blood loss，intraoperative fluoroscopy times，the amount of bone cement，hospital costs（all P＜0.05）.The vertebral height of fanterior and middle edge of two groupswere improved after operation，but there was no significant difference between two groups（all P＞0.05）.For VAS and pain relief were improved significantly than those before operation，there were significant differences between two groups（all P＜0.05）.Compared to preoperative that，postoperative Cobb angle and final follow-up did not show a significant difference（all P＞0.05）.Conclusion Unilateral and bilateral PKP can effectively restore spine morphology and suppress pain，unilateral approach can shorten operative time，reduce intraoperatve blood loss，and isworthy ofwider promotion.

Key words： Osteoporotic vertebral fractures Unilateral approach Bilateral approach Percutaneous kyphoplasty

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	XIONG Yan-liang
	HAN Zhi-min
	YEMin
	ZENG Xin

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XIONG Yan-liang,HAN Zhi-min,YEMin, et al. Effect observation of different approach kyphoplasty in the treatment of elderly patientswith osteoporotic vertebral fractures[J]. 中国当代医药, 2016, 23(25): 81-84.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2016/V23/I25/81

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