过伸性体位复位结合PVP与PKP治疗骨质疏松性椎体压缩性骨折

Percutaneous vertebroplasty combined with hyperextension postural reduction and percutaneous kyphoplasty for osteoporotic vertebral compression fractures

目的：比较过伸性体位复位结合经皮椎体成形术（ PVP）和经皮椎体后凸成形术（ PKP）治疗骨质疏松性椎体压缩性骨折（OVCF）的临床疗效。方法将81例老年OVCF患者（112椎体）根据治疗方法分为过伸性体位复位结合PVP组和PKP组。比较两组手术时间、透视次数、住院天数、治疗费用、手术前后VAS评分和ODI及椎体高度恢复情况。结果患者均获得随访，时间8-24个月。两组手术时间、透视次数、治疗费用、住院天数相比，过伸性体位复位结合PVP组均少于PKP组，差异有统计学意义（ P〈0．05）。两组术后VAS评分、ODI及椎体高度均较术前有明显改善（P〈0．05）；两组间比较差异无统计学意义（P〉0．05）。结论过伸性体位复位结合PVP与PKP治疗骨质疏松性压缩性骨折疗效相当，但过伸性体位复位结合PVP较PKP手术时间更短、费用更少。

Objective To compare the clinical efficacy of percutaneous vertebroplasty（ PVP） combined with hyperex-tension postural reduction and percutaneous kyphoplasty （ PKP ） for osteoporotic vertebral compression fractures （OVCF）. Methods Eighty-one patients （112 vertebraes） with OVCF were divided into PVP combined with hyper-extension postural reduction group and PKP group. The operation time, X-ray exposure time, hospitalization cost and duration, visual analogue scale （VAS）, Oswestry disability index（ODI）, recovery of fractured vertebrae height of two groups were compared. Results The follow-up time ranged from 8 months to 24 months, the operation time, X-ray exposure time, hospitalization cost and duration had significant difference between two groups, and they were more in the PKP group（P〈0. 05）. VAS,ODI and vertebrae height were statistically improved in both groups after surgery（P〈0. 05）. But there were no significant difference between the groups （P〉0. 05）. Conclusions Both PVP combined with hyperextension postural reduction group and PKP group have the same clinical curative effect for OVCF,but the former has shorter operation time, less hospitalization cost than the latter.