The Effect of Vertebral Kyphoplasty on Paraspinal Muscle Degeneration and Prognosis in Patients with Osteoporotic Vertebral Compression Fractures
Objective To explore the effect of vertebral kyphoplasty on paraspinal muscle degeneration and prognosis in patients with osteoporotic vertebral compression fractures.Methods Clinical data of 180 patients with osteoporotic vertebral compression fractures treated in Dongli Hospital of Tianjin from January 2008 to January 2023 were collected.Patients who underwent percutaneous vertebroplasty were assigned to the control group(82 cases),while those who underwent percutaneous kyphoplasty were assigned to the observation group(98 cases).The surgical related indicators,pain scores,lower back pain function,degree of paraspinal muscle degeneration,recent prognosis,and postoperative complications of the two groups were compared.Results The hospitalization time,bone density,and excellent rate of bone cement distribution in the observation group were all better than those in the control group(P<0.05).The pain score and lower back pain function score after the operation in the observation group were significantly lower than those in the control group(P<0.05).The cross-sectional area of the paraspinal muscles at the level of intervertebral discs after the operation in the observation group L3～S1 was significantly higher than that in the control group(P<0.05).The height of the anterior vertebral body after the operation in the observation group was higher than that in the control group,and the Cobb angle of the posterior convexity was lower than that in the control group(P<0.05).Conclusion Posterior kyphoplasty can significantly alleviate the clinical symptoms of patients with osteoporotic vertebral compression fractures,restore the anterior vertebral height,and have good short-term prognosis.
Vertebroplasty for KyphosisOsteoporosisVertebral Compression FractureParavertebral Muscle DegenerationPrognosis
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