Clinical Effect Analysis Of PVP, PKP, And Expanded Woven Bag In The Treatment Of Fresh Thoracolumbar Osteoporotic Compression Fractures

Objective: To observe the clinical and follow-up, evaluation and comparative analysis percutaneous puncture vertebral forming operation(PVP) and the percutaneous vertebral kyphoplasty(PKP) operation and expansion type woven bag vertebral kyphoplasty in the treatment of thoracolumbar osteoporotic compression fractures in clinical efficacy.Methods: a retrospective analysis to 2014 April to October 2015 in the Affiliated Hospital of Shandong University of traditional Chinese medicine orthopedic spine disease real surgical treatment of fresh thoracic and lumbar vertebrae osteoporosis of compression fractures in97 patients(107 vertebrae), were randomly divided into two groups: in PVP group 30 cases(37 vertebrae), PKP group(35(38 vertebrae) and expansion type woven bag group 32 cases(32 vertebras). Compared three groups of patients with bone cement injection volume, operation time and vertebral height restoration, the pain visual simulation(visual analogue scale, VAS) score and Oswestry disability index(ODI) evaluation before operation and the recovery of the patients with pain and functional activities. According to the statistics evaluation and comparative analysis of the percutaneous puncture vertebral forming operation(PVP),by percutaneous vertebral kyphoplasty(PKP) operation and expansion type woven bag vertebral kyphoplasty in treatment of thoracolumbar osteoporotic compression fractures of the clinical efficacy.Results: the bone cement PVP group, PKP group and expansion type woven bag group injected with an average of 4 + 1.2ml?4.2 + 1.4ml?4.5 + 0.9ml,no statistically significant difference(p<0.05); the average operation time of PVP group, PKP group and expansion type woven bag group were 25.3+1.3min ? 28.9 +1.7min ? 30.2 +1.2min, between the three groups was statistically significant(P>0.05); PVP group, PKP group and expansion type woven bag group(preoperative vertebral height restoration of vertebral compression rate and postoperative vertebral compression rate)were 6.5 + 2.7%?9.1 + 1.6%?11.7 + 0.9%; the PVP group, PKP group and expansion type woven bag group of patients with VAS score and ODI score were significantly lower than that before operation(p<0.01).Conclusion: application of PVP, PKP, dilated woven bag vertebral kyphoplasty in the treatment of thoracolumbar osteoporotic compression fractures, in pain visual simulation(VAS) score and Oswestry disability index(ODI) assessment can achieve satisfactory clinical efficacy, but the expansion type woven bag vertebral kyphoplasty surgery in the treatment of fresh thoracic and lumbar vertebrae osteoporosis vertebral compression of fracture in the vertebral height restoration is superior to the percutaneous vertebral kyphoplasty(PKP) and higher than that of percutaneous puncture vertebral forming operation(PVP).