临床椎体成形术及椎体后凸成形术在高龄重症胸腰椎压缩骨折中的应用

Clinical application of vertebral plasty and posterior kyphosis in old age severe thoracic and lumbar compression fractures

目的探讨临床椎体成形术及椎体后凸成形术在高龄重症胸腰椎压缩骨折中的应用价值。方法选取2018年1月至2019年1月本院收治的160例重症胸腰椎压缩性骨折患者作为研究对象,根据治疗方式的不同分为观察组和对照组,各80例。观察组患者接受椎体成形术及椎体后凸成形术,对照组患者接受保守治疗措施,比较两组患者治疗有效率、治疗前后患者椎体高度及后凸Cobb角、腰背部疼痛变化情况及不良反应发生率。结果观察组患者椎体前缘、椎体中部及Cobb角恢复效果优于对照组,VAS评分低于对照组,止痛药物应用次数低于对照组,不良反应发生率低于对照组,差异有统计学意义(P<0.05)。结论椎体成形术及椎体后凸成形术应用于高龄重症胸腰椎压缩骨折患者效果显著,能够有效提升治疗效果,促进椎体恢复,降低疼痛反应,缩短恢复时间,避免多种并发症风险,安全性高,值得推广。

Objective To investigate the clinical value of vertebral plasty and posterior kyphosis in patients with severe thoracic and lumbar compression fractures.Methods 160 patients with severe thoracic and lumbar compression fractures in our hospital from January 2018 to January 2019 were selected as the subjects.They were divided into observation group and control group according to the different treatment,with 80 cases in each group.The observation group was received vertebral plasty and posterior kyphosis.The control group was received conservative treatment.Compared to the treatment efficiency,before and after the treatment of the vertebral body height and protrusion Cobb angle,back and lower back pain changes and incidence of adverse reactions between the two groups.Results The recovery effect of anterior vertebral margin,central vertebral body and Cobb angle in the observation group was better than that of the control group,the VAS score was lower than that of the control group,the number of analgesic drug applications was lower than that of the control group,and the adverse reaction rate was significantly lower than that of the control group,the difference was statistically significant(P<0.05).Conclusion Clinical vertebral plasty and posterior kyphosis is effective in the elderly patients with severe thoracic and lumbar compression fractures.They can effectively improve the treatment effect,promote vertebral recovery,reduce pain response,shorten recovery time,avoid multiple complications,high safety,worth promoting.