Clinical Observation Of PKP Combined With Recurrent Manipulation In The Treatment Of Osteoporotic Thoracolumbar Vertebral Compression Fractures

Purpose:Research and comparison in curative effects and application prospects of PKP combined the hyperextension traction reduction with simple PKP treatment of Osteoporotic Vertebral Compression Fractures.Methods:Collect the inpatients with OVCF in Hospital of Chengdu University of TCM from March2013to January2014,According to the diagnostic select patients with a total54cases.Among them the treatment group of27patients treatment with hyperextension traction reduction combined the PKP, and the control group of27patients treatment only with PKP.We analysis and compare patients with the waist back pain VAS score, the change of Cobb angle, the height of vertebral body anterior border middle border and posterior border, amount of bone cement injected, operation time, follow-up after1months the waist back pain VAS score and the injured vertebra reexamination situation.We compare patients with the waist back pain VAS score, the change of Cobb angle, the height of vertebral body anterior border middle border and posterior border, amount of bone cement injected, operation time, follow-up after1months the waist back pain VAS score and the injured vertebra reexamination situation.The above results all be statiscally analyzed. Comprehensive evaluation and analysis PKP combined with the Bone-setting Manipulative Reduction of TCM treatment of the clinical efficacy and application prospects of Osteoporotic Vertebral Compression Fractures.Result:1. The comparison of the height of postoperative injured vertebra, the anterior border, the middle border and the posterior border:The two groups’ comparison of the anterior border’s height, the middle border’s height and the posterior border’s height of postoperative injured vertebra have statistical significance(p<0.05).2. The comparison of two days after operation the waist back pain VAS score: treatment in both groups could significantly alleviate pain in patients. The comparison of two groups of2days after operation, VAS score have not statistical significance(p>0.05).3. The comparison of postoperative Cobb angle:correction in patients with kyphosis,the effect of the treatment group is better than the control group, the comparison of the postoperative Cobb angle of two groups have statistical significance (p<0.05).4. The comparison of amount of bone cement injected:it can increase the amount of polymethylmethacrylate injected that hyperextension traction reduction combined the PKP, compared with the control group, the comparison of bone cement injection amount of the two groups have statistical significance(p<0.05).5. The comparison of bone cement leakage:the comparison of the two groups of postoperative bone cement leakage have not statistical significance (p>0.05).6. The comparison of the injured vertebra’s height1months after surgery, The two groups’ comparison of the anterior border、the middle border and the posterior border’s height of injured vertebra have statistical significance(p<0.05).7. The comparison of VAS score1months after surgery:treatment in both groups could significantly alleviate pain in patients. the comparison of two groups of1months after operation, VAS score have not statistical significance(P>0.05).8. The comparison of Cobb angle1months after surgery:correction in patients with kyphosis, the effect of the treatment group is better than the control group, the comparison of two groups of the Cobb angle1months after operation have statistical significance(p<0.05).Conclusion:PKP combined the bone-setting manipulative reduction of TCM for Osteoporotic Vertebral CompresSion fractures effect is obvious. It combines the advantages of Bone-setting Manipulative Reduction of TCM and modern minimally invasive technology, can maximize the recovery of vertebral height, Correction of spinal kyphosis, They are proved to have the advantages of slighter surgery wound, shorter treatment course and better curative effect, etc..They can be the first choice of in treatment of Osteoporotic Vertebral Compression Fractures, which is worth to popularize in clinic.