經皮椎體后凸成形術治療骨質疏松性椎體壓縮骨折的效果

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[Abstract]Objective： To analyze the impact of percutaneous kyphoplasty （PKP） treatment on perioperative indicatorsandsafetyinpatientswithosteoporotic vertebral compression fractures（OVCF）.Method：Clinical data of 86 patients with OVCFinLeping HospitalofTraditional Chinese Medicine from March202 to March2024 were retrospectivelyselected.According to the surgical method，43 patients who received percutaneous vertebroplasty （PVP）treatment were included inthe PVP group，and43 patients who received PKP treatment were included inthe PKP group.Surgical related indicators，spinal structural indicators （Cobbangle，vertebral compression rate，height ratioof theanterioredgeoftheinjuredvertebra），VASscore，spinal function[Oswestrydisabilityindexquestionaire （ODI）]， postoperativecomplications，andrecurrent vertebralfracturesandobjacent vertebralfractures werecompared between the two groups.Result： The surgical time inthePKP group was longer thanthatin the PVP group，and bone cement dosage inthe PKP group was more than that inthePVP group，the diferences were statistically significant 中 P <0.05）.There were no statistically significant diffrences in intraoperative bleeding and hospitalization time between the two groups （ P >0.05）.At1 d after surgery， the Cobb angle and vertebral compression rate in the PKP group were lowerthanthose inthe PVP group，andthe heightratioof theanterior edge of the injured vertebra was higher than that in the PVP group，with statistical significance（ P <0.05）. At 7 d and 6 months after surgery， the VAS and ODI scores in the PKP group were lower than those in the PVP group，the diffrences were statistically significant （ P <0.05）. There was no statisticall significant difference in the incidence of postoperative complications between the PKP group and the PVP group （ P>0.05 ）.There was no statistically significant difference in the incidence of recuirent vertebral fractures and objacent vertebral fractures between the two groups （ P >0.05）. Conclusion： PKP treatment ishelpful inrestoring spinal structural indicators in OVCF patients，significantly improving postoperative spinal activity function.

[Keywords]Osteoporotic vertebral compression fracturePercutaneous kyphoplasty Perioperative indicatorsSecurity

First-author's address： Orthopedics Department， Leping Hospital of Traditional Chinese Medicine， Leping333300，China doi： 10.3969/j.issn.1674-4985.2025.23.015

骨質疏松性椎體壓縮骨折（OVCF）指的是因骨質疏松使椎體的骨密度與骨質量降低，骨強度減弱，從而在較小的外力甚至無顯著外力的情況下，椎體出現壓縮性改變所導致的骨折[1。（剩余5954字）