Objective To observe and analyze the clinical efficacy and distribution of senile patients with osteoporotic vertebral compression fracture with precise bone cement injection. Methods A total of 12 patients with senile osteoporotic vertebral compression fracture (OVCFs) with normal thoracic vertebrae (no fracture), upper, middle and lower vertebrae fractures admitted to our hospital from July 2020 to July 2022 were selected. Each patient was injected with precise bone cement (different doses, Percutaneous kyphoplasty (PKP) was performed in 2 mL, 4 mL and 6 mL, respectively. The clinical efficacy and the distribution of bone cement were studied. Results There was no significant difference in VAS scores and clinically related indexes among the three fracture types before and after treatment (P>0.05). VAS scores of all fracture types after treatment showed a downward trend, and the differences within groups were statistically significant (P<0.05). After treatment, there were statistically significant differences in related clinical indicators among groups (P<0.05). Conclusion In the treatment of OVCFs, the amount of bone cement injected in different fracture sites is different. The three-dimensional finite element model and mechanical loading of the thoracolembar segment and the treatment of the corresponding bone cement (the dosage is different) can improve the clinical pain of patients and accelerate the recovery of Cobb Angle and vertebral height.
old ageosteoporosisvertebral compression fractureprecise bone cement injection
崔晓乐、Xiao Fei、周干溪、Guo Chun-rong、刘阳勇、Guo Cheng-shui
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阳山县人民医院骨科,广东 清远 513100
Department of Orthopedics, Yangshan People's Hospital, Qingyuan 513100, China