ClinicalStudy on Treatment of Osteoporotic Vertebral Compression Fracture with Manual Reduction and+PVP
Objective:To analyze the clinical effect of manual reduction and percutaneous vertebroplasty(PVP)in the treatment of osteoporotic vertebral compression fracture(OVCF).Methods:From October 2021 to October 2022,55 patients with OVCF admitted to the Department of Orthopaedics,Hengdian Hospital,Dongyang City were divided into two groups according to the random number table method,all of them received manual reduction treatment,and 27 patients in PKP group received PKP treatment.28 cases in PVP group received PVP treatment.The general situation of operation,pain,lumbar function and incidence of complications were compared between the two groups.Results:The operation time in PVP group was shorter than that in PKP group,and the times of fluoroscopy and treatment cost were less than those in PKP group,with statistical significance(P<0.05).There was no signifi-cant difference in the amount of injected bone cement between the two groups(P>0.05).Before operation,there was no significant difference in VAS and ODI scores between the two groups(P>0.05).One day after operation and three months after operation,the scores of VAS and ODI in both groups decreased compared with those before operation,but there was no statistical difference between the two groups(P>0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusion:Manual reduction com-bined with PKP or PVP can relieve the pain of patients with OVCF and improve their lumbar function,but PVP has higher economic benefits and does not increase the incidence of complications.