摘要
Abstract
Objective:To observe the effect of bone cement plasty combined with salmon calcitonin in the treatment of senile osteoporotic thoracolumbar fractures.Methods:60 elderly patients with osteoporotic thoracolumbar fractures admitted to our hospital from January 2019 to October 2022 were selected as the research objects.According to the sequence coding method,they were divided into the experimental group and the reference group,with 30 cases in each group.Both groups were treated with bone cement plasty.The Oswestry Disability Index(ODI),Visual Analogue Scale(VAS)score,fracture healing,ambulation,pain relief time,and clinical effect were compared between the two groups.The recovery of injured vertebrae and the improvement of bone mineral density were observed.Results:At 3 and 6 months after operation,the ODI scores of the trial group were lower than those of the reference group,and the difference between the two groups was statistically significant(P<0.05).At 1 week and 1 month after operation,the VAS scores of the trial group were lower than those of the reference group,and the differences between the two groups were statistically significant(P<0.05).The time of fracture healing,ambulation,and pain relief in the trial group were shorter than those in the reference group,and the differences between the two groups were significant(P<0.05).Before treatment,there was no significant difference in Cobb Angle of kyphosis,wedge Angle of injured vertebra,anterior height of injured vertebra,bone mineral density of right femoral neck,and lumbar spine between 2 groups(P>0.05).After treatment,the Cobb Angle of kyphosis and wedge Angle of injured vertebra in the two groups were smaller than those before treatment,and the anterior height of injured vertebra,bone mineral density of right femoral neck and lumbar vertebra were higher than those before treatment,and the Cobb Angle of kyphosis and wedge Angle of injured vertebra in the trial group were smaller than those in the reference group,and the anterior height of injured vertebra,bone mineral density of right femoral neck and lumbar vertebra in the trial group were higher than those in the reference group.The difference was statistically significant(P<0.05).The total effective rate of the experimental group was 96.67%,which was higher than 80.00%of the reference group,and the difference was statistically significant(P<0.05).Conclusion:The combined application of bone cement plasty and salmon calcitonin in the treatment of elderly patients with osteoporotic thoracolumbar fractures can improve the effectiveness of treatment,reduce postoperative pain,enhance bone mineral density,and accelerate the recovery of lumbar function and fracture healing.关键词
老年骨质疏松性胸腰椎骨折/鲑鱼降钙素/骨水泥成形术Key words
Senile osteoporotic thoracolumbar fractures/Salmon calcitonin/Bone cement plasty分类
医药卫生
