36 Cases Clinical Study on the Treatment of Low Back Pain after PKP with Acupotomy under Ultrasound Guidance to Relax the Dorsal Medial Branch of the Spinal Nerve
Objective:To observe and study the clinical efficacy of acupotomy under ultrasound guidance to release the dor-sal medial branches of the spinal nerve in the treatment of low back pain after percutaneous balloon kyphoplasty(PKP).Methods:A retrospective analysis was conducted of patients with residual back pain after PKP surgery from June 2021 to June 2023.They underwent treatment using acupuncture and scalpel guided by ultrasound to relax the dorsal and medial branches of the spinal nerves once per week for a total of 3 treatments.The pain visual analogue scale(VAS)scores and Oswestry disability index(ODI)scores before treatment,after treatment,and 1 month after treatment were recorded and analyzed.Results:The VAS scores of the patient were(1.22±0.79)points after 1 month of treatment,lower than the pre-treatment scores(4.94±0.91)points and the post-treatment scores(3.42±1.14)points.The ODI scores were signifi-cantly lower at 1 month after treatment(23.33±8.90)points compared to the pre-treatment scores(58.02±11.54)points and the post-treatment scores(42.35±10.17)points.The differences were statistically significant(P＜0.05).The overall clinical efficacy rate was 97.22％.Conclusion:The use of ultrasound-guided acupotomy to release the dorsal medial branch of the spinal nerve in the treatment of low back pain after PKP has achieved satisfactory clinical results.It can relieve low back pain and significantly improve low back dysfunction,and is worthy of further clinical application.
ultrasound guidanceacupotomyosteoporotic vertebral compression fracturepercutaneous balloon kyphoplastylow back pain
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