Study on the Effect of PRFT on Postoperative Pain after Percutaneous Vertebroplasty
Objective:To investigate the efficacy of percutaneous radiofrequency thermocoagulation(PRFT)in the treatment of pain after percutaneous vertebroplasty(PVP)of osteoporotic vertebral compression fracture(VCF)in elderly patients.Methods:A total of 63 elderly patients with pain after PVP in VCF who treated in our hospital from December 2020 to December 2021 were selected as the study subjects,and they were randomly divided into an observation group(n=31)and a control group(n=32).The control group was treated with conventional anti-inflammatory and analgesic drugs,while the observation group was treated with PRFT on the basis of the control group.The incidence of adverse events between two groups was compared,the pain Visual Analogue Scale(VAS)scores before and after 1,3,and 6 months of treatment were recorded,and the Oswestry Dysfunction Index(ODI),Japanese Orthopedic Association assessment treatment score(JOA),Activities of Daily Living(ADL),and Quality of Life Scale(SF-36)scores before and 6 months of treatment in the two group groups were observed.Results:The VAS scores of the observation group after 1,3,and 6 months of treatment were lower than those of the control group,and the differences between the groups were statistically significant(P＜0.05).After 6 months of treatment,the ODI score of the observation group was lower than that of the control group,and the JOA score of the observation group was higher than that of the control group,with statistically significant differences between the groups(P＜0.05).After 6 months of treatment,the ADL score and SF-36 score of the observation group were higher than those of the control group,and the differences between the groups were statistically significant(P＜0.05).The total incidence of adverse reactions in the observation group was 16.13%,and there was no statistically significant difference compared to the control group of 28.13%(P＞0.05).Conclusion:PRFT of the posterior branch of the lumbar spinal nerve can alleviate the pain of elderly VCF after PVP surgery,improve lumbar function and self-care ability,and has high safety.
Elderly vertebral compression fracturesVertebroplastyPercutaneous radiofrequency thermocoagulation of the posterior branch of the lumbar spinal nervePain
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