The clinical Effect of percutaneous Kyphoplasty for the Treatment of osteoporotic Compression Fractures and the influencing Factors of postoperative re Fractures
Objective To investigate the clinical efficacy of percutaneous kyphoplasty(PKP)in the treatment of osteoporotic vertebral compression fractures(OVCF)and the influencing factors of postoperative fractures.Methods A total of 142 OVCF patients admitted to the Second People's Hospital of Wuzhong District,Suzhou City from October 2021 to January 2023 were selected,all of whom received PKP treatment.The clinical effects were analyzed,and the changes in Cobb angle,pain level,and compression degree of vertebral fractures before and 7 days after surgery were compared.The incidence of postoperative fractures was statistically analyzed,and univariate and multivariate Logistic regression analyses were conducted to explore the influencing factors of postoperative fractures.Results The visual analogue scale(VAS)score,Cobb angle of the injured vertebra,and degree of vertebral fracture compression were significantly lower 7 days after operation than that before operation,with statistical significance(P＜0.05);The refracture group had a higher proportion of patients who were older than 70 years,had preoperative bone mineral density(BMD)T-values of 1.0～2.5 s,used glucocorticoid,and had more than 2 vertebrae before surgery than those in the non-fracture group,the difference was significant,and the difference was statistically significant(P＜0.05);Multivariate logistic regression analysis found that age≥70 years old(OR=2.657),preoperative BMD T-value of 1.0～2.5 S(OR=4.024),use of glucocorticoids(OR=5.137),and preoperative number of fractured vertebral bodies≥2(OR=3.276)were independent risk factors(P＜0.05)for postoperative refractures in OVCF patients treated with PKP.Conclusion PKP treatment for OVCF patients has a significant clinical effect,which can reduce the patient's pain level,improve the Cobb angle of the injured vertebra,vertebral fracture compression.age,preoperative BMD T-value,history of glucocorticoid use,and preoperative number of fractured vertebral bodies are closely related to the occurrence of refractures.
国家科技期刊平台
NSTL
万方数据
维普
