骨质疏松性脊柱骨折行椎体后凸成形术与保守治疗临床效果及功能恢复情况对比

Comparison of Clinical Effects and Functional Recovery of Kyphoplasty and Conservative Treatment for Osteoporotic Spinal Fractures

目的分析骨质疏松性脊柱骨折行椎体后凸成形术与保守治疗的临床价值。方法方便选择该医院自2017年3月—2019年3月收治的骨质疏松性脊柱骨折76例,分组依据患者治疗方法差异性为基准。采用保守治疗的38例骨折患者为参照组,采用椎体后凸成形术治疗的38例患者为研究组,最后对其临床治疗效果进行判定。结果研究组EVOS评分(59.22±6.68)分,对照组(45.20±6.64)分,差异有统计学意义(t=14.134,P=0.000<0.05);研究组VAS评分(4.28±0.82)分,对照组(6.88±0.56)分,差异有统计学意义(t=8.476,P=0.003<0.05);研究组椎体高度(67.41±6.31)mm,对照组(55.12±6.20)mm,差异有统计学意义(t=9.180,P=0.002<0.05);研究组后凸Cobb角(7.80±0.57)°,对照组(10.26±0.62)°,对比;差异有统计学意义(t=5.818,P=0.015<0.05)。另外,研究组骨折恢复优良率(97.4%)高于参照组(76.3%),差异有统计学意义(P<0.05)。结论骨质疏松性脊柱骨折行椎体后凸成形术,不仅可以使其疼痛得以缓解,同时对其活动功能的恢复起到促进作用,可在临床上进一步实践。

Objective To analyze the clinical value of kyphoplasty and conservative treatment for osteoporotic spinal fractures.Methods 76 patients with osteoporotic spinal fractures who were admitted to the hospital from March 2017 to March 2019 were convenient selected according to the differences in treatment methods.38 patients with conservative treatment were treated as reference group,and 38 patients treated with kyphoplasty were used as the study group.Finally,the clinical treatment effect was judged.Results The EVOS scores of the study group were(59.22±6.68),the control group(45.20±6.64),the comparison,the difference was statistically significant(t=14.134,P=0.000);the VAS score of the study group(4.28±0.82)and the control group(6.88±0.56),,the difference was statistically significant(t=8.476,P=0.003)vertebral height of study group(67.41±6.31)mm,control group(55.12±6.20)mm,,the difference was statistically significant(t=9.180,P=0.002);kyphosis Cobb angle of study group(7.80±0.57)°,control group(10.26±0.62)°,the difference was statistically significant(t=5.818,P=0.015);the difference was statistically significant(P<0.05).In addition,the excellent rate of fracture recovery in the study group(97.4%)was higher than that in the reference group(76.3%),and the difference was statistically significant(P<0.05).Conclusion The kyphoplasty of osteoporotic spinal fractures can not only relieve the pain,but also promote the recovery of its active function,which can be further practiced in clinical practice.