Impact of Unilateral Parapedicular Approach BKP Surgery on Pain Degree,Thoracolumbar Function and Fracture Recov-ery of Patients with Osteoporotic Thoracolumbar Vertebral Compression Fracture
Objective To explore the clinical effect of unilateral parapedicular approach bone filled mesh bag kyphoplasty(BKP)in the treatment of patients with osteoporotic thoracolumbar vertebral compression fracture(OVCF).Methods 74 OVCF patients were randomly divided into two groups.Under unilateral parapedicular approach,the observation group was treated with BKP,and the control group was treated with percutaneous kyphoplasty(PKP).Results After surgery,the VAS score,ODI score and Cobb angle of the injured vertebrae in the two groups were lower than those before surgery,and the anterior height of the injured vertebrae was higher than that before surgery(P<0.05);No significant difference was found in the VAS score,ODI score,anterior vertebral height of the injured vertebrae and Cobb angle of the injured vertebrae between the two groups(P>0.05).The amount of bone cement injection in the observation group was more than that in the control group,and the incidence of bone cement leakage was lower than that in the control group(P<0.05).Conclusions Unilateral parapedicular approach BKP surgery can achieve similar effects as PKP in relieving pain,restoring the height of the anterior edge of the injured vertebra,and improving lumbar function of OVCF patients,and can reduce the incidence of bone cement leakage.
OVCFUnilateral parapedicular approachBone filled mesh bag kyphoplastyPain degree