| Objective:PKP holds the single or double side treatment of osteoporotic thoracolumbar vertebral compression fractures of the clinical curative effect, comparing the difference between the two methods of operation, the choice of operation mode for clinicians to provide the reference basis.Methods:The article by the author in the first affiliated hospital of anhui medical university were retrospectively analyzed in March 2013, in February 2015, orthopaedic hospital for the treatment of unilateral is bilateral approach line PKP holds OVCF and through the review of 105 cases of patients with thoracic lumbar vertebral compression fractures, were treated with PKP holds art of osteoporotic thoracolumbar vertebral compression fractures in 105 patients(70 cases of female, male 35 cases), age at 60-80, an average of 72 years of age, hospitalization days for 7-12 days, an average of 9 days, the fracture of thoracic lumbar vertebral body, which is suitable for 22 vertebral T11, T12 to 28 vertebral, L1 vertebral 35 and L2 is 8 vertebral, L3 to 5 job, L4 vertebral for 5, 7 vertebral L5 for, a total of 110 vertebral body. Compressibility vertebral body above all can be divided into single line into the road and into the road on both sides group PKP holds the treatment, the unilateral approach PKP45 example, a total of 60 vertebral body, PKP60 into the road on both sides, a total of 50 vertebral body. Analysis of unilateral and bilateral approach and relieve pain symptoms, vertebral body after the protrusion deformity correction and functional recovery after spine, operation time, intraoperative application of bone cement and bone cement leakage, etc, the relationship between the analysis of the differences of two surgical methods.Results:1.Pain symptoms simulated VAS score:Unilateral VAS score line into the road PKP holds, preoperative ratings for 24 hours(8.80±0.35), postoperative ratings for 24 hours(1.69±0.90), after an analysis of the statistical data(P < 0.01), significant statistical significance. Double side into the road line PKP holds the effectiveness of VAS score, the data for statistical analysis(P < 0.01), which indicates that has a statistical significance. In unilateral and bilateral statistical comparison between groups, P > 0.05, no statistical significance 2.Peration time:Unilateral approach line PKP holds the operation time is(46.00 ± 4.03) minutes, double side into the road line PKP holds the operation time whice was(55.33 ±3.92) minutes, according to the results of statistical analysis(P < 0.01), which indicates that a significant statistical significance. 3.Ntraoperative bone cement dosage:PKP holds the unilateral approach line art of bone cement dosage for ml(2.96±0.73) mm, double side into the road line PKP holds art of bone cement dosage(4.17±0.63) ml, according to the results of statisticall was analysis(P < 0.01), which indicates that a significant statistical significance. 4.Bone cement leakage rate:Unilateral approach group of bone cement leakage rate was 17.78%, the group into the road on both sides of bone cement leakage rate of 2%, suggests that one group of the leakage rate is higher than the double side, according to the statistical analysis of difference(P < 0.05). 5. The comparison of spinal dysfunction index Oswestry:Unilateral approach PKP holds group Oswestry scores(10.88±0.73) points, bilateral approach PKP holds group Oswestry scores(10.63+1.00) points, two sets of scores of the results of numerical statistical analysis(P > 0.05), no significant statistical significance. 6.vertebral body after comparing the status of the convex Angle deformity correction:Unilateral approach group line PKP holds the preoperative Cobb Angle(15.44 ± 1.62), postoperative Cobb Angle for 24 hours(11.20±1.26) degrees, according to the results of statistical analysis(P < 0.01), which indicates that a significant statistical significance,both sides in the group of line PKP holds the preoperative Cobb Angle is(15.33 ± 1.81), postoperative Cobb Angle for 24 hours(11.27 ± 1.80) degrees. 7.according to the results of statistical analysis of P < 0.01, there was a significant statistical significance, for the statistical analysis and comparison between groups have no statistical meaning(P > 0.05), single or double side 24 hours into the road line group after PKP holds the preoperative Cobb Angle according to the results of statistical analysis P > 0.05 show that no significant statistical significance, for the statistical analysis and comparison between the two groups has no statistical significance.(P > 0.05) 7.Restore vertebral body height : Unilateral approach line group PKP holds the preoperative preoperative fanterior flange height is(18.44±3.84), the height of the front of the postoperative for(25.40±1.76), preoperative vertebral body height(15.64±1.96) among, intraoperative vertebral body height is(22.04±2.42), among the two groups of data for statistical analysis results(P < 0.01). Bilateral data according to the results of statistical analysis of(P< 0.01), statistical analysis and comparison between the two groups(P > 0.05), showed no significant statistical significance.Conclusion:PKP holds the single or double side technique can effectively reduce the pain of the patient because of OVCF symptoms, different degrees of restore vertebral bodyfunction, vertebral body height and vertebral convex forming Angle, after unilateral approach group can obviously shorten the operation time and the dosage of the bone cement, both sides of the road, groups of permeability reduction of bone cement, two groups of operation method with optimal length, clinicians can according to the actual situation, choose reasonable operation method. |
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