A CLINICAL ANALYSIS OF 80 CASES OF OSTEOPOROTIC SEVERE VERTEBRAL FRACTURE
Objective To investigate the clinical data of patients with osteoporotic severe vertebral fracture and treatment regimens for patients with different clinical symptoms.Methods A total of 80 patients with osteoporotic severe vertebral fracture were enrolled,and according to their clinical symptoms and signs and imaging data,they were divided into classes A (40 patients),B (25 patients),and C (15 patients) and were given appropriate surgery.Visual Analogue Scale (VAS) score,Activities of Daily Living (ADL) score,sagittal index (SI) of the vertebra,Oswestry disability index (ODI),and kyphotic Cobb angle were observed before surgery and at 7 days and 6 months after surgery,and complications were observed at 7 days and 6 months after surgery.Results Among the class C patients,3 had an unexpected increase in blood glucose and 2 had deep infection,all of whom were improved after active treatment.No patients had detached or loose internal fixator.All the patients had significant changes in VAS score,ADL score,SI,ODI,and kyphotic Cobb angle from before treatment to 6 months after surgery,as well as significant changes in ADL score and SI from 7 days to 6 months after surgery (F =28.84-305.53,q =4.08-31.38,P ＜0.05).Conclusion Individualized treatment regimen should be developed for patients with osteoporotic severe vertebral fracture,in order to improve their clinical outcome and reduce risk and complications.
NETL
NSTL
万方数据
维普
