Comparative Analysis of Clinical Efficacy and Safety Between PVP and PKP in the Treatment of Osteoporotic Thoracolumbar Vertebral Compression Fractures
Objective:Exploring the difference in therapeutic effects between percutaneous kyphoplasty(PKP)and percutaneous vertebroplasty(PVP)in the clinical treatment of osteoporotic vertebral compression fractures.Methods:120 patients with osteoporotic vertebral compression fractures who visited our hospital from January 2023 to November 2023 were included as the analysis objects.The patients were randomly divided into PKP group and PVP group using a random number table,with 60 cases in each group.PKP and PVP treatments were given accordingly.The therapeutic effects of the two surgical methods were evaluated from the perspectives of surgical efficacy,lumbar spine function,and postoperative complications.Results:There were significant differences between groups in terms of surgical time and bone cement injection volume,with statistical significance(P<0.05).After surgery,the pain score and pyramidal function score of the two groups of patients decreased,and the quality of life score improved.There was statistical significance in the comparison before and after surgery(P<0.05),but there was no statistical significance in the comparison of postoperative data between groups(P>0.05).The vertebral height of the postoperative PKP group was higher than that of the PVP group,and the Cobb angle was lower than that of the PVP group,with statistical significance(P<0.05).During the postoperative follow-up period,there was a significant difference in the incidence of surgical related complications between groups,with statistical significance(P<0.05).Conclusion:The application of PKP and PVP surgical methods can improve the condition of patients with osteoporotic vertebral compression fractures,and PKP surgical methods have advantages in terms of efficacy,prognosis quality,and safety.