不同椎体成形术治疗老年骨质疏松性脊柱骨折的效果

Effects of Different Vertebroplasty Procedures on Senile Osteoporotic Spinal Fractures

目的观察不同椎体成形术治疗老年骨质疏松性脊柱骨折的效果。方法选取2020年12月—2022年12月沂南县人民医院外科确诊的老年骨质疏松性脊柱骨折患者100例。根据手术方式不同分为两组,对照组50例,实施经皮椎体成形术,观察组50例,实施经皮椎体后凸成形术。对比两组患者手术过程指标包括手术时间、水泥量、水泥渗漏以及治疗12个月后两组患者疗效评价。结果两组患者手术过程中水泥量比较,差异无统计学意义(P>0.05),观察组术中骨水泥渗漏率、手术时间明显低于对照组。差异有统计学意义(P<0.05)。观察组总有效率92.0%高于对照组的76.0%,差异有统计学意义(χ^(2)=4.762,P<0.05)。结论经皮椎体后凸成形术治疗老年骨质疏松性脊柱骨折的效果更佳。

Objective To observe the effect of different vertebroplasty on senile osteoporotic spinal fracture.Methods A total of 100 elderly patients with osteoporotic spinal fracture diagnosed in the Department of Surgery of Yinan County People's Hospital from December 2020 to December 2022 were selected.They were divided into two groups according to different surgical methods,the control group(50 cases)underwent percutaneous vertebroplasty and the observation group(50 cases)underwent percutaneous kyphoplasty.The operation process indexes of the two groups were compared,including operation time,cement amount,cement leakage,and the efficacy evaluation of the two groups after 12 months of treatment.Results There was no significant difference in cement content between the two groups during operation(P>0.05).The bone cement leakage rate and operation time in the observation group were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).The total effective rate of observation group was 92.0%higher than that of control group 76.0%,and the difference was statistically significant(χ^(2)=4.762,P<0.05).Conclusion Percutaneous kyphoplasty is more effective in the treatment of osteoporotic spinal fractures in the elderly.