Application of High Viscosity Bone Cement Assisted Percutaneous Kyphoplasty to Improve the Vertebral Recovery and Leakage of Elderly Patients with Thoracolumbar Compression Fractures
Objective:To observe the effect of high viscosity bone cement combined with PKP on vertebral recovery and bone leakage in elderly patients with thoracolumbar compression fractures.Methods:107 elderly patients with thoracolumbar vertebral compression fractures treated in the hospital from March 2020 to June 2022 were taken as the research object.All patients were treated with PKP,and they were divided into groups by drawing lots.53 patients who were treated with conventional viscosity bone cement combined with surgery were listed as the control group,and 54 patients who were treated with high viscosity bone cement combined with surgery were listed as the observation group.The surgical conditions of the two groups were compared.The patients were followed up for 6 months after operation to compare the recovery of vertebral structure and function between the two groups.Results:After PKP treatment with different viscosity bone cement,the operation time,intraoperative bleeding,intraoperative bone cement perfusion in the observation group were lower than those in the control group(t=2.821,2.436,3.129,2.569;P<0.05).The postoperative VAS score was lower than that in the control group,and the bone cement leakage rate was 9.26%,which was lower than 20.75%in the control group(χ2=5.176,P<0.05).During the follow-up period,the heights of the anterior margin,midline and posterior margin of the vertebral body in the observation group were higher than those in the control group.The kyphosis Cobb angle was smaller than that in the control group(t=2.768,3.081,2.627,3.439;P<0.05).After 1,3 and 6 months of follow-up,the ODI score of the observation group was lower than that of the control group,and the EMS score was higher than that of the control group(t=2.329,3.290,4.718,8.179,3.782,3.018;P<0.05).Conclusion The use of high viscosity bone cement with PKP in the treatment of senile thoracolumbar compression fractures can effectively improve the operation,avoid the risk of bone cement leakage,reduce postoperative pain,and promote the recovery of vertebral structure and function.
Thoracolumbar vertebral compression fractureHigh viscosity bone cementPercutaneous kyphoplastyVertebral body recoveryBone cement leakage
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NSTL
万方数据
维普
