The Effect of CT-assisted Posterior Branch of Spinal Nerve PRFT Combined with Nerve Block Surgery in the Treatment of Residual Pain after PVP for Elderly Vertebral Compression Fractures
Objective:To investigate the effect of CT-assisted posterior branch of spinal nerve percutaneous radiofrequency thermocoagulation(PRFT)combined with nerve block surgery for residual pain after percutaneous vertebro plasty(PVP)in elderly patients with vertebral compression fracture.Method:A total of 86 elderly patients with vertebral compression fracture with residual pain after PVP treated in Quanzhou Southeast Hospital from January 2020 to June 2023 were selected and divided into two groups by random number table method,with 43 cases in each group.The control group underwent nerve block surgery,and the observation group underwent CT-assisted posterior branch of spinal nerve PRFT on the basis of the control group.Pain,functional impairment,ability of daily living and quality of life were compared between the two groups.Result:At 1 week and 1,3 and 6 months after surgery,the visual analogue scale(VAS)scores and Oswestry disability index(ODI)scores of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).At 1 week and 1,3 and 6 months after surgery,the scores of activities of daily living(ADL)and generic quality of life inventory-74(GQOLI-74)in the observation group were higher than those in control group,and the differences were statistically significant(P<0.05).Conclusion:Nerve block surgery combined with CT-assisted posterior branch of spinal nerve PRFT treatment for elderly patients with residual pain after PVP can not only eliminate the pain of patients,promote the recovery of their vertebral function,but also further improve their daily living ability and quality of life.
Vertebral compression fractureCT-assistedPosterior branch of spinal nerve percutaneous radiofrequency thermocoagulationNerve block surgeryResidual pain after percutaneous vertebro plasty
万方数据
维普
