椎体后凸成形术与保守治疗骨质疏松性脊柱骨折的对比评价

Comparative evaluation of kyphoplasty and conservative treatment of osteoporotic spine fractures

目的分析对比椎体后凸成形术与保守治疗骨质疏松性脊柱骨折的临床效果。方法选取在本院接受治疗的骨质疏松性脊柱骨折患者90例,根据住院时间不同将其分成对照组与实验组,每组45例。对照组患者接受保守治疗,实验组患者接受椎体后凸成形术治疗。对比两组患者治疗6个月后的活动功能恢复、疼痛缓解、后凸Cobb以及椎体高度的变化情况。结果实验组患者疼痛缓解评分、活动功能评分等方面均优于对照组,差异有统计学意义(P<0.05);实验组患者的椎体高度、Cobb角的改善程度均优于对照组,差异有统计学意义(P<0.05)。结论骨质疏松性脊柱骨折患者接受椎体后凸成形术治疗干预,可有效提高患者活动功能、缓解患者疼痛感,有效改善患者的椎体高度、Cobb角,临床治疗效果显著,值得推广应用。

Objective To analyze the clinical effect of contrast kyphoplasty and conservative treatment of osteoporotic spinal fractures. Methods Ninety patients with osteoporotic spinal fractures treated in our hospital were selected and divided into control group and experimental group according to dift＇erent hospitalization time, with 45 cases in each group. Patients in the control group received conservative treatment, and pa tients in the experimental group received kyphoplasty. The functional recovery, pain relief, kyphosis Cobb, and vertebral height changes were com pared between the two groups after 6 months of treatment. Results The pain relief score and activity function score of the experimental group were better than the control group, the differences were statistically significant （P〈0.05）. The improvement of vertebral height and Cobb angle of the ex perimental group were better than that of the control group（P〈0.05）. Conclusion The treatment of osteoporotic vertebral fracture with kyphoplastycan effectively improve the patient＇s mobility, relieve the pain and improve the vertebral body height and Cobb angle effectively. The clinical effect is worthy of popularization and application.