骨水泥强化对老年性腰椎骨折患者腰椎椎弓根钉固定的影响分析

Efficacy of bone cement augmentation on elderly patients with lumbar fractures by lumbar pedicle screw fixation

目的:探究骨水泥强化对老年性腰椎骨折患者腰椎椎弓根钉固定的疗效,提供临床指导。方法:以2016年2月-2018年2月我院收治的45例老年性腰椎骨折患者作为观察对象,结合治疗方式的不同将45例患者分为对照组(20例,应用常规腰椎椎弓根钉固定治疗)、实验组(25例,在腰椎椎弓根钉固定中应用骨水泥强化治疗)。研究对比实验组和对照组患者的疼痛评分、后凸角情况及并发症发生率。结果:实验组患者治疗后疼痛评分[(0.54±0.32)分]、后凸角[(10.32±8.26)°]相比对照组明显更低,P <0.05;实验组患者并发症发生率(4.00%)相比对照组(25.00%)明显更低,P <0.05。结论:在腰椎椎弓根钉固定中应用骨水泥强化治疗老年性腰椎骨折患者切实可行,可有效改善患者病情。

Objective： To explore the efcacy of bone cement augmentation on elderly patients with lumbar fractures by lumbar pedicle screw fxation, and provide guidance for clinical practice. Methods： 45 cases were divided into the control group （20 cases, given conventional lumbar pedicle screw fxation treatment） and the experimental group （25 cases, given bone cement augmentation in lumbar pedicle screw fxation）. The pain score, posterior convex angle and complication rate in two groups were studied. Results： The pain score was （0.54±0.32）; posterior convex angle was （10.32±8.26） ° in the experimental group, were signifcantly lower than those in the control group, P〈0.05. The incidence of complication was 4.00% in the experimental group, signifcantly lower than 25.00% in the control group, P〈0.05. Conclusion： The bone cement augmentation on elderly patients with lumbar fractures by lumbar pedicle screw fxation is feasible and efective, can improve condition.