Zhao Peng, Guo Aifeng, Tan Zhongjiang, Li Tianqiang, Zhao Fei, Li Jie, Yan Wenliang
Department of orthopedics, Feixian People's Hospital, Linyi City, Shandong Province.
Department of Spine Surgery, the Second Hospital of Tangshan, Tangshan City, Hebei Province, China.
Medicine (Baltimore). 2020 Jul 2;99(27):e20479. doi: 10.1097/MD.0000000000020479.
The aim of the present study was to evaluate the clinical effect of percutaneous vertebroplasty (PVP) in the treatment of old osteoporotic vertebral compression fracture (OVCF) pain.A retrospective study was conducted on the clinical and imaging data of 31 patients with old OVCF treated by PVP from June 2010 to September 2011. Clinical efficacy was evaluated by the visual analog scale (VAS) scores, the oswestry disability index (ODI), the Cobb angle, and vertebral kyphotic angle at pre-operation and post-operation 3 days, 3 months, and 12 months.The VAS scores and ODI scores of 3 day, 3 month, and 12 month after PVP were significantly improved compared with those before operation (P < .05), but the Cobb angle and vertebral kyphosis angle were not significantly improved compared with those before operation (P > .05).PVP can effectively relieve the pain caused by old OVCF, and the motor ability of the patients is improved obviously. However, the recovery of Cobb angle and vertebral kyphosis angle was not obvious.
本研究的目的是评估经皮椎体成形术(PVP)治疗老年骨质疏松性椎体压缩骨折(OVCF)疼痛的临床效果。对2010年6月至2011年9月期间接受PVP治疗的31例老年OVCF患者的临床和影像学资料进行回顾性研究。通过视觉模拟评分法(VAS)、Oswestry功能障碍指数(ODI)、Cobb角以及术前、术后3天、3个月和12个月的椎体后凸角来评估临床疗效。PVP术后3天、3个月和12个月的VAS评分和ODI评分与术前相比显著改善(P<0.05),但Cobb角和椎体后凸角与术前相比无显著改善(P>0.05)。PVP能有效缓解老年OVCF引起的疼痛,患者的运动能力明显提高。然而,Cobb角和椎体后凸角的恢复不明显。