Correlation Between Preoperative Nutritional Status and Function and Postoperative Prognosis in Elderly Patients with Osteo-porotic Vertebral Compression Fractures
Objective To explore the correlation between preoperative nutritional status of elderly patients and function and postoperative prognosis in elderly patients with osteoporotic vertebral compression fractures(OVCFs).Methods A total of 149 elderly OVCFs patients who underwent percutaneous kyphoplasty(PKP)treatment at the au-thor's hospital from February 2021 to February 2022 were selected as the study subjects.The patients were divided into well nourished group(n=35),nutritional risk group(n=74)and malnutrition group(n=40)according to mini nutri-tional assessment(MNA)within 24 hours after admission;the bone mineral density(BMD)of the OVCFs patients was detected,and the changes in visual analogue scale(VAS),Oswestry dysfunction index,vertebral height compression rate and Cobb angle of OVCFs patients before surgery and 3,6 months after surgery were evaluated.Results There were no significant differences in surgery time,intraoperative blood loss and bone cement injection volume of OVCFs patients among the three groups(P＞0.05).The VAS score,Oswestry dysfunction index,vertebral height compression rate and Cobb angle of OVCFs patients significantly decreased at 3 and 6 months after surgery(all P＜0.05),the VAS score,Oswestry dysfunction index,vertebral height compression rate and Cobb angle of OVCFs patients in the well nourished group were significantly better than those in the nutrition risk group and malnutrition group(all P＜0.05),and the VAS score,Oswestry dysfunction index,vertebral height compression rate and Cobb angle of OVCFs patients in the nutrition risk group were significantly better than those in the malnutrition group(all P＜0.05).Correlation analysis showed that there was a significant negative correlation between the MNA nutritional status and postoperative VAS score,Oswestry dysfunction index,vertebral height compression rate and Cobb angle of OVCFs patients at 3 and 6 months after surgery(P＜0.05).Conclusion The nutritional status of OVCFs patients is closely related to their postoperative function recovery and prognosis after PKP surgery,the worse the nutritional status,the worse the postoperative prognosis.It is necessary to actively monitor the nutritional status of patients to promote their postoperative recovery.
NETL
NSTL
万方数据
