The Clinical Research For Thoracic And Lumbar Vertebral Compression Fracture Of The Practices Treatment With PKP

PurposeThis research study Guangdong Provincial Hospital of Traditions Chinese Medicine for the elderly orthopedic thoracolumbar compression fracture patients. Used the three treatment,the Chinese medicine practice treatment with percutaneous kyphoplasty(PKP),the percutaneous kyphoplasty and the Chinese medicine practice treatment.Three Methods before and after treatment compared to the vertebral height,kyphosis angle,and other indicators of the impact and relevance,evaluation of the effect of three methods to explore the advantages and disadvantages of the three treatment,finding the effective ways of treating such diseases.Methodsntages We will meet the inclusion criteria were used in the Chinese medicine practice treatment with PKP,PKP and the Chinese medicine practice treatment. Measuring there before and after treatment of vertebral height,kyphosis angle, Observing before and after treatment for the pain,dysfunction and complications such as index,Establishing database and analyzing statistical.ResultIn the Chinese medicine practice treatment with PKP group,the operations were performed an a total of 42 centrums in 30 patients,the mean time of each centrum was 53.0min,no complication and insertion,volume of bone cement from 1.10 to 5.00ml,mean 2.82ml,with good distribution of bone cemen.VAS score, Oswestry score,vertebral height and kyphosis angle were significantly different in before and after treatment.Postoperative fever,urinary tract infection and other complications rate was 6.7%.In the PKP group,the operations were performed an a total of 36 centrums in 30 patients,the mean time of each centrum was 63.6min,no complication and insertion,volume of bone cement from 1.00 to 6.00ml,mean 2.85ml,with good distribution of bone cemen.VAS score,Oswestry score,vertebral height and kyphosis angle were significantly different in before and after treatment. But in the operation time of each vertebra,the number of days in bed,days of hospitalization,pain relief,quality of life and vertebral height are poor than the first group.Statistics show that there were significant differences. Postoperative complication rate was 10%.There ara 30 patients with a total of 56 vertebral compression in the traditional group,pain has eased after treatment,VAS score,Oswestry score, vertebral height and kyphosis angle were significantly different in before treatment and after treatment two weeks.Bedridden for an average 30.7 days, the complication rate of 20 percent.With minimally invasive therapy for comparison,in addition to lower cost of hospitalization,the VAS score after two weeks and hospitalization time there was no significant difference, vertebral height,kyphosis angle,dysfunction index and the time in bed were worse than minimally invasive therapy group,Statistics show that there are significant differences.ConclusionThe Chinese medicine practice treatment is in combination with PKP can be rapid and significant pain relief,improved quality of life,to avoid the complications of the bed-ridden.And in pain relief,improving the quality of life and the restoration of vertebral height are better than the simple PKP.No significant increase in hospitalization costs,the operative time, time and length of stray in bed or extended.Traditional treatment can ease the pain symptoms,treatment costs less, a slight improvement in the quality of life and restore the vertebral body height and kyphosis angle,but for a longer period,the high incidence of complications.Keywords Chinese medicine practicetreatment;PKP;minimally invasive therapy; Traditional treatment;Vertebral compression fracture...