经皮椎体成形术在胸腰椎骨质疏松性压缩骨折患者中的应用价值探讨

The value of percutaneous vertebroplasty in the treatment of osteoporotic compression fractures of thoracolumbar spine

目的探讨经皮椎体成形术在胸腰椎骨质疏松性压缩骨折患者中的应用价值.方法该研究选取2020年1月-2023年12月天津市滨海新区大港医院收治的64例胸腰椎骨质疏松性压缩骨折患者作为研究对象,随机分为观察组和保守组,每组32例;观察组采用经皮椎体成形术治疗,保守组采用保守治疗;对比分析两组治疗效果.结果观察组治疗总有效率显著高于保守组(P<0.05).观察组患者治疗后各时间点VAS评分显著低于保守组(P<0.05).治疗后观察组患者伤椎中线高度、后凸Cobb角、ODI、SF-36评分显著优于保守组(P<0.05).两组治疗期间均未发生严重不良反应.结论经皮椎体成形术用于治疗胸腰椎骨质疏松性压缩骨折安全有效,值得推广.

Objective To investigate the clinical value of percutaneous vertebroplasty in the treatment of osteoporotic compression fractures of thoracolumbar spine.Methods From January 2020 to December 2023,64 patients with osteoporotic compression fractures of thoracolumbar spine were selected in our hospital and were randomly divided into observation group(n=32)and conservative group(n=32),which were treated with percutaneous vertebroplasty in the observation group and conservative treatment in the conservative group.The effects of the two groups were compared and analyzed.Results The total effective rate in the observation group was significantly higher than that in the conservative group(P<0.05).After treatment,the VAS score in the observation group was significantly lower than that in the conservative group(P<0.05).The midline height,kyphosis Cobb angle,ODI and SF-36 scores in the observation group were significantly better than those in the conservative group(P<0.05).No serious adverse reaction occurred in both groups during the treatment.Conclusion Percutaneous vertebroplasty is a safe and effective method for the treatment of osteoporotic compression fractures of thoracolumbar spine.