球囊扩张椎体后凸成形术治疗老年骨质疏松脊柱压缩骨折的疗效及安全性分析

Analysis of efficacy and safety of balloon dilatation kyphoplasty in the treatment of senile osteoporotic spinal compression fractures

目的探究在老年骨质疏松脊柱压缩骨折治疗时,应用球囊扩张椎体后凸成形术治疗的效果,并评价其安全性。方法 51例老年骨质疏松脊柱压缩骨折患者作为研究对象,均对患者实施球囊扩张椎体后凸成形术治疗,观察分析患者治疗后的效果和安全性。结果治疗后,患者未发生骨折愈合不良、畸形愈合等并发症,故其安全性良好。此外,治疗后患者的疼痛评分、前缘高度、中缘高度、Cobb角分别为(1.64±0.31)分、(72.05±16.34)%、(78.24±19.34)%、(13.24±1.49)°,均优于治疗前的(8.29±1.14)分、(56.01±11.68)%、(58.34±12.34)%、(24.11±3.16)°,差异具有统计学意义(P<0.05)。结论球囊扩张椎体后凸成形术治疗老年骨质疏松脊柱压缩骨折的效果和安全性均较好,值得临床应用。

Objective To discuss the effect and safety of balloon dilatation kyphoplasty in the treatment of senile osteoporotic spinal compression fractures.Methods A total of 51 senile patients with osteoporotic spinal compression fractures all received balloon dilatation kyphoplasty,and their effect and safety after treatment was observed and analyzed.Results After treatment,there was no complications such as poor union and malunion were found.After treatment,patients had pain score,leading edge height,middle edge height,and the Cobb angle respectively as(1.64±0.31)points,(72.05±16.34)%,(78.24±19.34)%,(13.24±1.49)°,which were all better than(8.29±1.14)points,(56.01±11.68)%,(58.34±12.34)%and(24.11±3.16)°before treatment,and their difference was statistically significant(P<0.05).Conclusion Balloon dilatation kyphoplasty is an effective and safe method for the treatment of osteoporotic vertebral compression fractures in the elderly.So it is worthy of clinical application.