摘要
Abstract
Objective:To explore the effect of manual reduction combined with percutaneous vertebroplasty(PVP)in the treatment of osteoporotic vertebral compression fractures(OVCF).Method:A total of 120 patients with OVCF admitted to Jingzhou Third People's Hospital from January 2022 to December 2024 were selected and randomly divided into two groups,with 60 cases in each group.The control group was treated with PVP,and the observation group was treated with manual reduction combined with PVP.The perioperative indicators,pain,lumbar function,complications,vertebral height,and kyphotic Cobb angle of the two groups were compared.Result:The operation time and intraoperative fluoroscopy time in the observation group were shorter than those in the control group,the incidence of complications in the observation group was lower than that in the control group,and the amount of bone cement injected was more than that in the control group(P<0.05).At 1,3,and 6 months after the operation,the VAS scores of both groups gradually decreased compared to before the operation,and those in the observation group were lower than those in the control group(P<0.05).At 3 and 6 months after the operation,the Oswestry disability index(ODI)of both groups gradually decreased compared to before the operation,the Japanese orthopaedic association scores(JOA)gradually increased compared to before the operation,and the ODI of the observation group were lower than those of the control group,the JOA were higher than those of the control group(P<0.05).At 6 months after the operation,the midline and anterior height of the vertebrae in both groups increased compared to before the operation,the kyphotic Cobb angle decreased compared to before the operation,and the midline and anterior height of the vertebrae in the observation group were higher than those in the control group,the kyphotic Cobb angle was smaller than that in the control group(P<0.05).Conclusion:Manual reduction combined with PVP in the treatment of OVCF can effectively shorten the operation time and intraoperative fluoroscopy time,alleviate postoperative pain,improve the height of the vertebrae,and reduce the occurrence of complications.关键词
骨质疏松性椎体压缩骨折/经皮椎体成形术/手法复位/腰椎功能/并发症Key words
Osteoporotic vertebral compression fractures/Percutaneous vertebroplasty/Manual reduction/Lumbar function/Complications
