不同修复方案治疗骨质疏松性胸腰椎骨折的效果比较

Comparison of the effects of different repair regimens in the treatment of osteoporotic thoracolumbar fracture

目的比较不同修复方案治疗骨质疏松性胸腰椎骨折的效果。方法将120例骨质疏松性胸腰椎骨折患者按照手术方法的不同分为膨胀式椎弓根螺钉内固定术(EPSF)组、经皮椎体成形术(PVP)组和经皮椎体后凸成形术(PKP)组。三组均给予对应的手术方法。比较三组的治疗效果。结果术后30 d,三组的VAS及ODI评分明显降低,SF-36评分明显升高,Cobb角明显减小(P<0.05)。术后30 d,与EPSF组相比,PVP组和PKP组的VAS评分明显更低,SF-36评分明显更高(P<0.05)。结论 EPSF、PVP和PKP治疗骨质疏松性胸腰椎骨折均能够有效降低患者的疼痛程度,有助于受伤椎体强度以及高度的恢复,临床应根据患者具体情况综合评估,选择合理术式。

Objective To compare the effects of different repair regimens on osteoporotic thoracolumbar fracture.Methods A total of 120 patients with osteoporotic thoracolumbar fracture were divided into expanded pedicle screw fixation(EPSF) group, percutaneous vertebroplasty(PVP) group and percutaneous kyphoplasty(PKP) group according to different surgical methods. All the three groups were given corresponding surgical methods. The therapeutic effects of the three groups were compared. Results At 30 days after surgery, the VAS and ODI scores of the three groups decreased significantly, the SF-36 scores increased significantly, and the Cobb angle reduced significantly(P<0.05). At 30 days after operation, compared with the EPSF group, the VAS scores of the PVP group and PKP group were significantly lower, and the SF-36 scores were significantly higher(P <0.05). Conclusion EPSF, PVP and PKP in the treatment of osteoporotic thoracolumbar fracture can effectively reduce the pain of patients and contribute to the strength and height recovery of the injured vertebral body. In clinical practice, it should make a comprehensive evaluation according to the specific conditions of patients and choose a reasonable surgical method.