Efficacy of pedicle screw enhancement combined with vertebroplasty and osteotomy in the treat-ment of stage Ⅲ Kummell's disease
Objective The surgical methods of pedicle screw enhancement fixation combined with vertebroplasty and osteotomy in the treatment of stage Ⅲ Kummell's disease were discussed,and their clini-cal efficacy was compared.Methods A total of 42 patients with stage Ⅲ Kummell's disease who were ad-mitted to the Second Affiliated Hospital of Zhengzhou University from September 2020 to September 2023 were selected and divided into vertebroplasty group and osteotomy group according to the treatment plan:25 cases in the vertebroplasty group underwent enhanced fixation of upper and lower pedicles and vertebro-plasty,and 17 cases in the osteotomy group underwent enhanced fixation of upper and lower pedicles and wedge-shaped osteotomy and orthopedics.The two groups were compared with the relevant indexes of surgery(operation time,intraoperative blood loss,postoperative drainage volume,hospital stay,complication rate),clinical efficacy evaluation[pain visual analogue score(VAS),low back pain efficacy Japanese Orthopaedic Association score(JOA),Oswestry dysfunction index(ODI),kyphosis Cobb angle preoperation,postoper-ation and at last follow-up].The continuous data were expressed as mean±standard deviation(x±s)using independent samples t-tests.The x2 test was used for counting.Results All patients successfully comple-ted the operation,and the symptoms of low back pain,numbness and weakness of the lower limbs were sig-nificantly improved.There was one case of incision infection in the vertebroplasty group and one case of ce-rebrospinal fluid leakage in the osteotomy group,and both recovered well after treatment.The patients were followed up for mean(11.2±4.5)months(8-20 months).The operation time,intraoperative blood loss,and postoperative drainage volume in the vertebroplasty group were significantly reduced as compared with those in the osteotomy group[vertebroplasty group:(129.81±8.94)min,(133.82±14.34)ml,(62.90±7.27)ml;osteotomy group:(165.07±7.84)min,(244.93±19.24)ml,(95.00±9.09)ml,t=-161.691,61.542,104.251,P＜0.05].Conclusion Pedicle screw enhancement combined with vertebroplasty and osteotomy for the treatment of stage Ⅲ Kummell's disease can relieve nerve compres-sion,correct kyphotic deformity,rebuild spinal stability,and the follow-up effect is good.
Pedicle screwVertebroplastyOsteotomy and orthopedicsKummell's disease
NETL
NSTL
万方数据
