关键词:

骨质疏松性椎体压缩性骨折, 复位床, 经皮椎体成形术, 经皮球囊扩张椎体后凸成 形术

Abstract:

Objective To evaluate the clinical effect of thoracolumbar compression fracture reduction bed combined with percutaneous vertebroplasty （PVP）in the treatment of osteoporotic thoracolumbar compression fracture. Methods From January 2021 to January 2022，75 patients with osteoporotic thoracolumbar compression fracture in our hospital were randomly divided into reduction bed group，PVP group and percutaneous kyphoplasty （PKP）group. Preoperative and postoperative local Cobb angle，VAS score，the height of anterior and posterior edge of the injured vertebral body，anterior edge compression rate of the injured vertebral body，the Oswestry Dysfunction Index，bone cement leakage，new fractures of adjacent vertebral body，amount of cement injected， hospitalization cost，days of hospitalization，bone mineral density（BMD）and other complications were compared in the three groups. Results Compared with PVP Group，the reduction bed group and PKP group had smaller Cobb angle，higher anterior edge height，lower anterior edge compression rate and more cement injection at the same time after operation. There were no significant differences in VAS score，Oswestry Dysfunction Index，bone cement leakage，new fracture of adjacent vertebral body，bone mineral density and days of hospitalization among the three groups（P > 0.05）. The cost of hospitalization was lower in the reduction bed group than that in the PKP Group. Conclusion Reduction bed combined with PVP for osteoporotic thoracolumbar compression fracture can improve postoperative Cobb Angle，restore the height of the anterior edge of the injured vertebral body，and reduce the hospitalization cost，and it is worth to be popularized in primary hospitals.

Key words:

osteoporotic vertebral compression fractures, reduction bed, percutaneous vertebroplasty, percutaneous kyphoplasty