Therapeutic Effect On Percutaneous Kyphoplasty (PKP) Method In Accordance With Osteoporotic Multi-compressive Fractures

BackgroundOur country has a large population, with the serious aging of the population and growth faster. In our country there are a lot of patients with osteoporosis, and always combine with compressive fracture. The recovery of non-surgical treatment is slow, and there are many complications caused by prolonged bed rest. Once patients were diagnosed in clinic, surgical treatments were needed. PKP, which holds the small surgical trauma and short-time recovery, has been preferred treatment of osteoporotic vertebral compressive fractures. Barthel Index, Cobb Angle, Visual Analogue Scale/Score (VAS) and Oswesty Disability Index (ODI) were used to evaluate the efficacy between the conservative treatment and surgical treatment. And we have done some statistics for fracture recurrence and bone cement penetration.ObjectiveObservation and evaluation of therapeutic effect on percutaneous kyphoplasty(PKP) method in accordance with osteoporotic multi-compressive fractures.MethodsA retrospective study was undertaken from the 68 cases of osteoporotic multi-Compressive fractures dating from Jan,2009 to Dec,2013.17 patients (totally 49 vertebrae) were treated by regular anti-osteoporosis method while 51 patients (totally 121 vertebrae) were treated by PKP. In addition, these two groups accepted the same therapeutic strategy of anti-osteoporosis method. These two groups were analyzed by clinical and radiological index such as Barthel Index, Cobb Angle, Visual Analogue Scale/Score (VAS) and Oswesty Disability Index (ODI) to figure out the difference between conservative and surgery treatment which provides insight of PKP in dealing with osteoporotic multi-Compressive fractures.ResultsAfter following-up these 68 patients ranging from 12 months to 24 months (average 18.6 months), the data indicate that the pain of 51 cases from post-surgery patients is significantly released or even abolished. X-ray images show there is no obvious bone loss or severe complications. Compared the before and 12 months later after the PKP surgery, the surgically-treated group exists a significant statistic difference (P<0.05) according to the Barthel Index, Cobb Angle, VAS and ODI analysis. There is a significant difference (P<0.05) between surgically-treated group and control group according to Cobb Angle analysis in the delayed one year. However, there is no significant difference (P>0.05) between these two groups according to Barthel Index, VAS and ODI analysis.ConclusionClinically, PKP is an effective method to treat osteoporotic multi-Compressive fracture which is valuable with high reliability and safety.