Objective To investigate the clinical efficacy and safety of osteoporotic vertebral compression fracture of the lumbar spine in the elderly.Methods A retrospective analysis was performed on 88 patients with osteoporotic vertebral compression fracture admitted to our hospital from May 2020 to April 2022.43 patients received PKP surgery(observation group)and 45 patients received conservative treatment(control group).VAS pain score,imaging data and safety were compared between the two groups.Results All cases were followed up for no less than 6 months,and the VAS score of 3 and 6 months after surgery was statistically significant(P＜0.05),and the observation group was lower than the control group.Compared with the imaging indexes,6 months after treatment,the vertebral height loss in the observation group was less than that in the control group.The cobb Angle correction observation group was smaller than the control group,and the difference between the two groups was statistically significant(P＜0.05).Safety evaluation:In the observation group,there were 2 cases of bone cement leakage,but no compression of nerve roots and spinal cord,and no infection of the operative vertebral body.There were 2 cases of adjacent vertebral fractures without further surgical treatment.Three patients showed decreased blood pressure during the operation.In the control group,8 cases had bedsores of varying degrees,7 cases had lower limb vein thrombosis,and 5 cases died due to pulmonary embolism or severe pulmonary infection.Conclusion On the basis of strict control of surgical indications for osteoporotic vertebral compression fractures in the super-aged lumbar spine,early PKP surgery can significantly relieve pain,improve clinical efficacy,reduce complications caused by bed rest,and improve survival and quality of life in the super-aged patients,which is in line with the development concept of modern minimally invasive surgery.
关键词
超高龄/骨质疏松性椎体压缩骨折/经皮椎体后凸成形术/疼痛
Key words
super old age/osteoporotic vertebral compression fracture/percutaneous kyphoplasty/pain
维普
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