Advance Search
SUN Yijun, SUN Qing, GONG Futai. Effect of percutaneous kyphoplasty in the treatment of osteoporotic vertebral compression fractures[J]. Journal of Clinical Medicine in Practice, 2020, 24(23): 45-48. DOI: 10.7619/jcmp.202023015
Citation: SUN Yijun, SUN Qing, GONG Futai. Effect of percutaneous kyphoplasty in the treatment of osteoporotic vertebral compression fractures[J]. Journal of Clinical Medicine in Practice, 2020, 24(23): 45-48. DOI: 10.7619/jcmp.202023015
shu

Effect of percutaneous kyphoplasty in the treatment of osteoporotic vertebral compression fractures

  • Spine Ward in Department of Orthopedics, Xi'an City Hospital of Traditional Chinese Medicine in Shaanxi Province, Xi'an, Shaanxi, 710021

More Information
  • Received Date: October 09, 2020
  • Available Online: December 20, 2020
    Graphical Abstract
    • Abstract
  • Objective To observe the clinical effects of percutaneous kyphoplasty(PKP)in the treatment of osteoporotic vertebral compression fractures(OVCF). Methods The clinical data of 126 patients with OVCF was retrospectively analyzed. Sixty-nine patients treated with PKP were included in the PKP group, and 57 patients treated with percutaneous vertebroplasty(PVP)were included in the PVP group. The operative situation and postoperative complications of the two groups were observed, and the changes of the injured vertebral correction(anterior edge height, vertebral compression rate, Cobb angle), pain degree ［Visual Analogue Scale(VAS)score］ and vertebral function ［Oswestry Disability Index(ODI)score］ of the two groups were compared. Results The operative time in the PKP group was shorter, fluoroscopy frequency and bone cement amount were greater than those in the PVP group(P<0.05). There was no significant difference in bleeding amount between the two groups(P>0.05). At 6 months after operation, the anterior height of injured vertebrae in the two groups was increased compared with that before operation, and the height in the PKP group was larger than that in PVP group(P<0.05). The vertebral compression rates were lower and Cobb angles were smaller in the two groups than those before operation, and the above indexes in the PKP group were lower than those in the PVP group(P<0.05). After surgery, VAS scores in both groups gradually decreased, and the intra-group difference was statistically significant(P<0.05). VAS scores before surgery and 3 days after surgery between the two groups showed no significant- differences(P>0.05). At 6 months after surgery, VAS score in the PKP group was significantly lower than that in the PVP group(P<0.05). After operation, ODI scores in both groups gradually decreased, and the intra-group difference was statistically significant(P<0.05). There were no significant differences in ODI scores between the two groups before surgery, 1 week and 6 months after surgery(P>0.05). The total incidence rate of complications in the PKP group was significantly lower than that in the PVP group(P<0.05). Conclusion PKP and PVP for OVCF have similar effects in improving the vertebral body function of patients. PVP has shorter operative time and less intraoperative fluoroscopy frequency. PKP is more advantageous in correcting the deformity of injured vertebrae, relieving the pain and improving the safety of treatment.
    • FullText(HTML)
    • References (16)
  • 沈煜, 冯明利, 徐军, 等. 老年骨质疏松性椎体压缩性骨折部位和腰椎骨密度对下腰部疼痛的影响[J]. 中华医学杂志, 2016, 96(23): 1818-1820.
    刘建文, 李明, 杨敏. 经皮椎体成形术改善保守治疗效果不佳的老年OVCF患者疼痛和功能障碍的效果观察[J]. 实用医院临床杂志, 2019, 16(2): 11-14.
    OKAZAKI T, NAKAGAWA H, YAGI K, et al. Bone scintigraphy for the diagnosis of the responsible level of osteoporotic vertebral compression fractures in percutaneous balloon kyphoplasty[J]. Clin Neurol Neurosurg, 2017, 152(4): 23-27.
    张作记. 行为医学量表手册[M]. 北京: 中华医学电子音像出版社, 2005: 485-487.
    俞红, 白跃宏. 简式中文版Oswestry功能障碍指数评定下背痛患者的信度及效度分析[J]. 中华物理医学与康复杂志, 2010, 32(2): 125-127.
    MATTEI T A. The specificity of SPECT-CT for the diagnosis of discogenic pain: implications for the future of the lumbar fusion outcome score(LUFOS)[J]. Spine J, 2018, 18(9): 1722-1724.
    潘朝国, 王帅, 谭意. 滋肾续骨汤联合经皮椎体成形术治疗老年椎体压缩性骨折临床疗效观察[J]. 实用医院临床杂志, 2018, 15(4): 214-217.
    温晓阳, 余凯龙, 何东生, 等. PKP与PVP治疗陈旧性骨质疏松性椎体压缩性骨折效果对比观察[J]. 山东医药, 2016, 56(42): 59-61.
    孙浩林, 李淳德, 朱佳琳, 等. PVP或PKP治疗激素诱导骨质疏松性椎体压缩骨折的临床研究[J]. 北京大学学报: 医学版, 2015, 47(2): 242-247.
    杭海峰, 汤新兵, 于健. 高粘度联合夯实技术在PKP治疗骨质疏松性椎体压缩性骨折中的临床效果观察[J]. 实用临床医药杂志, 2018, 22(7): 93-95.
    KATO S, HOZUMI T, YAMAKAWA K, et al. META: an MRI-based scoring system differentiating metastatic from osteoporotic vertebral fractures[J]. Spine J, 2015, 15(7): 1563-1570.
    左华, 黄永辉, 李大鹏, 等. 经皮椎体成形术及经皮后凸成形术治疗老年骨质疏松性椎体压缩性骨折的长期临床疗效比较[J]. 中国矫形外科杂志, 2015, 23(22): 2021-2025.
    董继胜, 董力军, 闫兵勇, 等. 经皮椎体成形术和经皮椎体后凸成形术治疗老年骨质疏松椎体压缩性骨折的疗效观察[J]. 中国矫形外科杂志, 2015, 23(8): 748-751.
    DIMOPOULOS M A, HILLENGASS J, USMANI S, et al. Role of magnetic resonance imaging in the management of patients with multiple myeloma: a consensus statement[J]. J Clin Oncol, 2015, 33(6): 657-664.
    马俊. 经皮椎体后凸成形术与经皮椎体成形术治疗骨质疏松椎体压缩骨折的疗效比较[J]. 中国矫形外科杂志, 2017, 25(6): 571-573.
    王福兵, 张夏琦, 彭庆辉, 等. 椎体成形术与椎体后凸成形术治疗老年骨质疏松性单椎体压缩骨折的疗效比较[J]. 实用临床医药杂志, 2018, 22(21): 86-89.
    • Related Articles

  • Related Articles

    [1]YANG Lei, FENG Yi, WANG Yang. Correlation between preoperative coagulation function and prognosis in patients with hypertensive cerebral hemorrhage undergoing emergency craniotomy[J]. Journal of Clinical Medicine in Practice, 2024, 28(8): 83-87. DOI: 10.7619/jcmp.20240214
    [2]Yisilamujiang·TUERXUN, LI Yuanming, Yelibo·JUNUSIHAN, LIU Wenjuan, ZOU Anqing, Mayirimu·SAIMAITI, CHEN Jiahua. Relationships of coagulation and fibrinolytic functions with patent foramen ovale complicated with cryptogenic stroke[J]. Journal of Clinical Medicine in Practice, 2023, 27(21): 116-119, 124. DOI: 10.7619/jcmp.20231661
    [3]LIU Wei, ZHANG Naiying. Effect of thrombelastogram in monitoring hemostatic and coagulation function in patients undergoing elective orthopedic surgery during blood transfusion[J]. Journal of Clinical Medicine in Practice, 2020, 24(20): 11-14. DOI: 10.7619/jcmp.202020003
    [4]ZHU Wenjuan. Effect of octreotide combined with pantoprazole for elderly patients with peptic ulcer complicating upper gastrointestinal bleeding and its influence on coagulation function[J]. Journal of Clinical Medicine in Practice, 2019, 23(22): 55-57. DOI: 10.7619/jcmp.201922019
    [5]LIU Haodong, FU Xiaowu. Effect of whole-course epidural labor analgesia on coagulation function during vaginal delivery in pregnant women with hypertension[J]. Journal of Clinical Medicine in Practice, 2019, 23(21): 98-100. DOI: 10.7619/jcmp.201921028
    [6]ZHANG Guotao, QIAO Xueli, ZHANG Mingxing. Effect of blood type on coagulation function in parturient women of child-bearing age[J]. Journal of Clinical Medicine in Practice, 2018, (9): 121-123. DOI: 10.7619/jcmp.201809035
    [7]ZHOU Haizhou, HUANG Qianjie, JIANG Hui. Effect of acute super volume blood dilution on cardiac output and blood coagulation function in the senile patients[J]. Journal of Clinical Medicine in Practice, 2017, (3): 123-124,132. DOI: 10.7619/jcmp.201703037
    [8]ZHU Jinli. Effect of urinary kallidinogenase combined with troxerutin and cerebroprotein hydrolysate injection on coagulation and neurological function of patients with acute cerebral infarction[J]. Journal of Clinical Medicine in Practice, 2016, (9): 17-20. DOI: 10.7619/jcmp.201609005
    [9]LIU Yingying, SUN Qiushi. Change of coagulation function and influence of chemotherapy on coagulation function in elderly patients with non-small cell lung cancer[J]. Journal of Clinical Medicine in Practice, 2014, (3): 90-92. DOI: 10.7619/jcmp.201403030
    [10]LI Xiulan. Changes and clinical significances of the blood coagulation function in patients with malignant tumor[J]. Journal of Clinical Medicine in Practice, 2013, (11): 162-164. DOI: 10.7619/jcmp.201311069

  • Cited by

    Periodical cited type(9)

    1. 何瑷芯，赵利华，单俊堂，邹卓成，黄瑜，宁少丽，黄鼎坚. 基于正交设计探讨温和灸对青年人心血管功能及心率变异性的影响. 河北中医. 2025(01): 125-131+136 .
    2. 程玲，汪芳，王伟，谈芮. 多元家庭参与计划下链式亲情护理对老年心血管疾病手术患者的影响. 齐鲁护理杂志. 2024(02): 56-59 .
    3. 王彩霞，薛燕文，吴骏，孙志辉，杜勇平. 社区-家庭一体化的Ⅲ期心脏康复对老年冠心病患者自我效能及运动能力的影响. 检验医学与临床. 2024(02): 166-169 .
    4. 赵汐冉，高寒，武子敬，薛桐，胡泽兵，张舒，郭显. 鸢尾素减轻模拟失重下心肌细胞氧化应激和细胞凋亡. 空军军医大学学报. 2024(02): 152-157+162 .
    5. 袁悦雯，褚欣秋，李阳. 虚拟现实技术在心脏康复运动处方中的应用. 心脑血管病防治. 2024(11): 32-36+41 .
    6. 叶赟，杨柳，张婷，熊朝叶. 分级康复疗养对高海拔地区心血管疾病疗养员心境状态植物神经功能及预后的影响. 安徽医学. 2023(05): 556-560 .
    7. 崔荣，张姝，吴丽英，付琳，张思宁. 运动康复治疗对老年慢性心衰患者生活质量的影响评价. 中外医疗. 2023(14): 36-39+44 .
    8. 牛田瑶，储祥玲，龚倩. 基于运动的心脏康复治疗冠心病的病理生理学研究进展. 中华物理医学与康复杂志. 2023(10): 948-952 .
    9. 林宁宁，赵佳佳，樊俊雅，田欣雨，张辉. 3种治疗方案对经皮冠状动脉介入术患者心功能及预后的影响. 实用临床医药杂志. 2022(16): 66-70 . 本站查看

    Other cited types(4)

Catalog

    Get Citation
    PDF
    XML
    Article views (240) PDF downloads (10) Cited by(13)
    Turn off MathJax
    Article Contents
    Abstract
    References
    Related Articles

    © 2020 《实用临床医药杂志》编辑部

    Address: 江苏省扬州市江阳中路136号，扬州大学江阳路北校区14号楼201室China Pos: 225009Tel: 0514-87978917、87978989、87978807

    苏公网安备 32100302010246号

    Supported by: Beijing Renhe Information Technology Co., Ltd.   Baidu Analytics

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return