Clinical efficacy of percutaneous kyphoplasty on osteoporotic vertebral compression fracture with a history of lumbar fusion surgery
Objective To investigate the clinical efficacy of percutaneous kyphoplasty(PKP)on osteoporotic vertebral compression fracture(OVCF)with a history of lumbar fusion surgery.Methods Patients admitted to Jiangyin People's Hospital for OVCF and treated with PKP from March 2018 to July 2022 were retrospectively analyzed,and they were followed up for more than 3 months.The patients were divided into the fusion group(n=16,Group A,with a previous history of lumbar fusion surgery)and the control group(n=45,Group B,without a history of lumbar fusion surgery.The ages,bone mineral densities,distribution patterns of injured vertebrae,operation time,dosages of bone cement,visual analogue scale(VAS)of low back pain before operation,2 days after operation and 3 months after operation,vertebral heights and bone cement leakages were compared between the two groups.Results There were no statistically significant differences in operation time,dosages of bone cement and bone cement leakages between the fusion group and the control group(P＞0.05).Bone mineral density in the fusion group was higher than that in the control group,with statistically significant difference(P＜0.05).The age of the fusion group was younger than that of the control group,with statistically significant difference(P＜0.05).2 days and 3 months after operation,the VAS scores of two groups of patients were all lower than those before operation,and the height of diseased vertebrae were all higher than those before operation,with statistically significant differences(P＜0.05).3 months after operation,there was no statistically significant difference in VAS score between the two groups(P＞0.05).Conclusion The patients after lumbar fusion surgery have OVCF at an earlier age,and PKP is safe and effective for OVCF patients with a history of lumbar fusion surgery.
万方数据
维普
