经皮椎体成形术治疗老年骨质疏松脊柱压缩性骨折的临床效果

Clinical effect of percutaneous vertebroplasty on senile osteoporosis vertebral compression fracture

目的探讨经皮椎体成形术治疗老年骨质疏松脊柱压缩性骨折的临床效果。方法选择患者50例,使用经皮椎体成形术治疗,比较治疗前后患者受伤椎体前缘高度及中柱高度,并统计活动能力评分及腰背疼痛视觉模拟(VAS)评分。结果治疗后患者受伤椎体前缘高度显著高于治疗前(P<0.01),中柱高度高于治疗前(P<0.01),活动能力评分较治疗前显著改善(P<0.01),腰背疼痛VAS评分低于治疗前(P<0.01)。结论经皮椎体成形术具有微创、术后恢复快等优点,能较好地保证患者治疗效果,缓解患者疼痛并改善其活动能力。

Objective To investigate the clinical effect of percutaneous vertebroplasty on senile osteoporosis vertebral compression fracture.Methods 50 cases with senile osteoporosis vertebral compression fracture were treated by percutaneous vertebroplasty.Then, the anterior injured vertebral height and column height before and after treatment were compared, and their activity ability score and back pain VAS score were counted.Results After treatment, patients＇ anterior injured verte- bral height and column height were significantly higher than those before treatment（ P 〈0. 01 ） , and their activity ability score significantly improved（ P 〈0. 01 ）, and lower back pain VAS score was obviously lower than that before treatment（ P 〈 0. 01 ）.Conclusion Percutaneous vertebroplasty is a minimally invasive surgery with quick recovery. It can well ensure the outcomes of patients and relieve pain and improve activity ability of patients.