Comparison of effects of percutaneous balloon kyphoplasty and percutaneous vertebroplasty in treatment of elderly patients with spinal osteoporotic fractures
Objective:To compare effects of percutaneous ballon kyphoplasty(PKP)and percutaneous vertebroplasty(PVP)in treatment of elderly patients with osteoporotic spinal fractures.Methods:A prospective study was conducted on 76 elderly patients with spinal osteoporotic fractures admitted to this hospital from January 2021 to January 2023.According to the random number table method,they were divided into control group and study group,38 cases in each group.The control group was treated with PVP,while the observation group was treated with PKP.The clinical efficacy,the pain degree[visual analogue scale(VAS)]scores,the vertebral imaging parameters(anterior vertebral height,Cobb angle)levels,the spinal function[Oswestry dysfunction index(ODI)]score,the daily living ability[Barthel index(BI)]score before and after the surgery,and the incidence of complications were compared between the two groups.Results:There was no significant difference in the total effective rate between the two groups(P>0.05).After the surgery,the VAS scores of the two groups were lower than those before the surgery,but there was no significant difference between the two groups(P>0.05).After the surgery,the anterior vertebral height levels of the two groups were higher than those before the surgery,and that of the observation group was higher than that of the control group;the Cobb angle levels of the two groups were lower than those before the surgery,and that of the observation group was lower than that of the control group;and the differences were statistically significant(P<0.05).After the surgery,the ODI scores of the two groups were lower than those before the surgery,and that in the observation group was lower than that in the control group;the BI scores of the two groups were higher than those before the surgery,and that in the observation group was higher than that in the control group;and the differences were statistically significant(P<0.05).Further,the incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusions:PKP in the treatment of the elderly patients with spinal osteoporotic fractures can improve the BI scores,improve the levels of imaging parameters of injured vertebrae,and reduce the ODI scores and the incidence of complications.Moreover,it is superior to PVP treatment.
Spinal osteoporotic fractureElderlyPercutaneous vertebroplastyPercutaneous balloon kyphoplastyPain degreeSpinal function
万方数据
维普
