经皮椎体成形术与经皮椎体后凸成形术治疗胸腰椎骨折继发椎管狭窄效果比较OACSTPCD

Objective To explore the therapeutic advantages of percutaneous vertebroplasty and percutaneous kyphoplasty in patients with spinal stenosis secondary to thoracolumbar fractures.Methods A total of 76 patients with spinal stenosis secondary to lumbar fractures received in our hospital were selected from January 1,2017 to December 31,2021.Patients received percutaneous vertebroplasty(vertebroplasty group,n=31)and percutaneous kyphoplasty(kyphoplasty group,n=45).The general clinical data of the patients,the pain score(VAS score),dysfunction score(ODI score),the height of the anterior,central and posterior edges of the vertebral body,the Cobb angle of the vertebral body and the incidence of complications were compared before and after the operation.Results Compared with patients in the vertebral kyphoplasty group,patients in the vertebral kyphoplasty group had significantly shorter fluoroscopy time,increased surgical time and hospitalization costs,significantly reduced postoperative ODI scores,significantly increased anterior vertebral height,central vertebral height,and posterior vertebral thickness,and significantly reduced vertebral Cobb angle(P＜0.05).There was no significant difference in postoperative VAS score and incidence of complications between the two groups of patients(P＞0.05).Conclusion Percutaneous kyphoplasty has advantages in reducing the fluoroscopic time,improving the dysfunction and vertebral body condition of patients and promoting the recovery of cone height.Percutaneous vertebroplasty has obvious advantages in improving Cobb angle of vertebral body.