Effectiveness of Percutaneous Vertebral Augmentation versus Open Reduction Internal Fixation in Treating Elderly Osteoporotic Thoracolumbar Vertebral Fractures
Effectiveness of Percutaneous Vertebral Augmentation versus Open Reduction Internal Fixation in Treating Elderly Osteoporotic Thoracolumbar Vertebral Fractures
Objective To discuss the efficacy of percutaneous kyphoplasty(PKP)and open reduction in-ternal fixation in the treatment of thoracolumbar osteoporotic vertebral fractures in elderly patients.Methods Retrospective analysis was conducted on 100 elderly patients diagnosed with thoracolumbar vertebral fracture at the Third People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine from March 2020 to January 2023.The patients were divided into two groups using a random number table:the control group(50 cases)underwent traditional open reduction internal fixation,and the observation group(50 cases)received PKP surgery.The basic surgical indicators and pre-and post-operative pain levels of the two groups were compared using Visual Analogue Scale(VAS)and radiographic indicators(vertebral anterior height,Cobb angle of kyphosis),and spinal function of the two groups were compared withOswestry Disability Index(ODI).Results The observation group showed lower basic surgical indicators(operation time,intraoperative blood loss,and length of hospital stay)than those of the control group(P＜0.05).The VAS scores at 1 week,3 months,and 6 months postoperatively were lower in the observation group than those in the control group(P＜0.05).There was no statistically significant difference in vertebral anterior height and Cobb angle at 1 week,3 months,and 6 months postoperatively between the two groups(P＞0.05).The ODI scores at 1 week,3 months,and 6 months postoperatively were lower in the observation group than those in the control group(P＜0.05).Conclusion PKP surgery for elderly patients with thoracolumbar vertebral fractures has advantages including shorter operation time,less blood loss,shorter hospital stay,effective pain relief postoperatively,and promotion of spinal function recovery.
维普
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