PKP联合PVP对老年骨质疏松性胸腰椎多节段脊柱骨折患者VAS和ASIA评分的影响

Effects of PKP Combined with PVP on VAS and ASIA Scores in Elderly Patients with Multiple Segmental Vertebral Fractures of the Thoracolumbar Spine

目的:探讨PKP联合PVP对老年骨质疏松性胸腰椎多节段脊柱骨折患者VAS和ASIA评分的影响.方法:选取2015年1月-2017年12月我院收治的老年骨质疏松性胸腰椎多节段脊柱骨折患者80例,所有患者均应用经皮椎体后凸成形术(PKP)联合椎体成形术(PVP)治疗.比较患者治疗前后的VAS评分(视觉模拟评分法)以及ASIA评分(神经功能评分表).结果:治疗后VAS评分低于治疗前(P<0.05);治疗后ASIA评分高于治疗前(P<0.05).结论:老年骨质疏松性胸腰椎多节段脊柱骨折的治疗期间,PKP联合PVP的治疗效果较佳,值得在临床上多加宣传与使用.

Objective: To explore the effect of PKP combined with PVP on VAS and ASIA scores in elderly patients with osteoporotic thoracolumbar spine fractures. Methods: 80 cases of senile osteoporotic thoracolumbar spine fractures treated in our hospital from January 2015 to December 2017 were selected. All the patients were treated with percutaneous kyphotomy ( PKP) combined with vertebroplasty (PVP). The VAS score ( visual analogue scale) and ASIA score (neurological function scale) before and after treatment were compared. Results: VAS score after treatment was lower than before treatment ( P < 0.05). After treatment, the ASIA score was higher than before treatment (P < 0. 05). Conclusion: The effect of PKP combined with PVP in the treatment of senile osteoporotic thoracolumbar spine fractures is good, and it is worthy of clinical publicity and use.