目的分析经皮椎体成形术(PVP)对骨质疏松性胸腰椎Ⅰ度压缩性骨折患者影像参数、Oswestry功能障碍指数(ODI)及并发症的影响。方法选择2018年5月—2021年4月收治的骨质疏松性胸腰椎Ⅰ度压缩性骨折122例,按照治疗方式分为研究组74例和对照...目的分析经皮椎体成形术(PVP)对骨质疏松性胸腰椎Ⅰ度压缩性骨折患者影像参数、Oswestry功能障碍指数(ODI)及并发症的影响。方法选择2018年5月—2021年4月收治的骨质疏松性胸腰椎Ⅰ度压缩性骨折122例,按照治疗方式分为研究组74例和对照组48例。研究组给予PVP治疗,对照组给予经皮椎体后凸成形术治疗。比较2组手术相关指标、影像参数、椎体功能、疼痛程度及并发症发生情况。结果研究组手术时间、住院时间短于对照组,骨水泥量少于对照组(P<0.01)。与术前比较,2组术后椎体中部高度均上升、Cobb角均减小,且研究组椎体中部高度低于对照组(P<0.05,P<0.01)。与术前相比,2组术后ODI评分降低、日本骨科协会评估治疗分数评分升高(P<0.05)。2组术后视觉模拟评分法(VAS)评分均低于术前,且研究组术后1 d VAS评分低于对照组(P<0.05,P<0.01)。2组并发症发生率比较差异无统计学意义(P>0.05)。结论PVP治疗骨质疏松性胸腰椎Ⅰ度压缩性骨折效果确切,可有效缩短手术时间,促进术后恢复,改善椎体功能,且能早期缓解疼痛,安全性较高。展开更多
Background: Work related low back pain has been identified as a one of the most costly disorders among the worldwide working population. This condition was highly prevalent that approximately 85% patients having back ...Background: Work related low back pain has been identified as a one of the most costly disorders among the worldwide working population. This condition was highly prevalent that approximately 85% patients having back pain were brought on by prolonged sitting. With the rapid development of modern technology, sitting has now become the most common posture in today’s work- place. Idea of using motor control learning approach provides the optimal control and coordination of the spine. The McKenzie evaluation was received using repeated movements and sustained positions. Therefore high quality randomized clinical trial was required to compare the effectiveness of these treatments for work related low back pain. Objectives: To compare the effectiveness of motor control exercises and McKenzie exercises in reducing pain and disability in work related low back pain. Method: The study included 40 subjects with work related low back pain due to prolonged sitting. They were randomly allocated into two groups (Group A and Group B). Group A was treated with motor control exercises and group B was treated with McKenzie exercises for 4 weeks. Results: Both the groups have shown statically significant improvement in vas with p < 0.0001 and ODI with p < 0.0001. When the comparison was done after the 4 weeks, the percentage of improvement in group A was much higher than Group B. Conclusion: The study concluded that motor control exercises have shown statically and clinically significant improvement in reducing pain and disability when compared to McKenzie exercises among work related low back pain subjects.展开更多
文摘目的分析经皮椎体成形术(PVP)对骨质疏松性胸腰椎Ⅰ度压缩性骨折患者影像参数、Oswestry功能障碍指数(ODI)及并发症的影响。方法选择2018年5月—2021年4月收治的骨质疏松性胸腰椎Ⅰ度压缩性骨折122例,按照治疗方式分为研究组74例和对照组48例。研究组给予PVP治疗,对照组给予经皮椎体后凸成形术治疗。比较2组手术相关指标、影像参数、椎体功能、疼痛程度及并发症发生情况。结果研究组手术时间、住院时间短于对照组,骨水泥量少于对照组(P<0.01)。与术前比较,2组术后椎体中部高度均上升、Cobb角均减小,且研究组椎体中部高度低于对照组(P<0.05,P<0.01)。与术前相比,2组术后ODI评分降低、日本骨科协会评估治疗分数评分升高(P<0.05)。2组术后视觉模拟评分法(VAS)评分均低于术前,且研究组术后1 d VAS评分低于对照组(P<0.05,P<0.01)。2组并发症发生率比较差异无统计学意义(P>0.05)。结论PVP治疗骨质疏松性胸腰椎Ⅰ度压缩性骨折效果确切,可有效缩短手术时间,促进术后恢复,改善椎体功能,且能早期缓解疼痛,安全性较高。
文摘Background: Work related low back pain has been identified as a one of the most costly disorders among the worldwide working population. This condition was highly prevalent that approximately 85% patients having back pain were brought on by prolonged sitting. With the rapid development of modern technology, sitting has now become the most common posture in today’s work- place. Idea of using motor control learning approach provides the optimal control and coordination of the spine. The McKenzie evaluation was received using repeated movements and sustained positions. Therefore high quality randomized clinical trial was required to compare the effectiveness of these treatments for work related low back pain. Objectives: To compare the effectiveness of motor control exercises and McKenzie exercises in reducing pain and disability in work related low back pain. Method: The study included 40 subjects with work related low back pain due to prolonged sitting. They were randomly allocated into two groups (Group A and Group B). Group A was treated with motor control exercises and group B was treated with McKenzie exercises for 4 weeks. Results: Both the groups have shown statically significant improvement in vas with p < 0.0001 and ODI with p < 0.0001. When the comparison was done after the 4 weeks, the percentage of improvement in group A was much higher than Group B. Conclusion: The study concluded that motor control exercises have shown statically and clinically significant improvement in reducing pain and disability when compared to McKenzie exercises among work related low back pain subjects.
