Efficacy Research On Osteoporotic Vertebral Body Compression Fractures Treated With Adjustable Spinal External Fixation

Objective;Through the observation and comparison of osteoporotic vertebral compression fractures were treated by two different treatment methods after fracture reduction,lumbar pain visual analogue scale(VAS)and lumbar dysfunction score(OD1)and other indicators of manipulative reduction and adjustable spinal external fixation method for the treatment of osteoporotic vertebral compression in clinical effects at the same time reference evidence for the fracture of the disease in non surgery therapy related.Methods:Collecting information of the hospitalization and portal emergency of osteoporotic vertebral compression fractures in Suzhou Hospital of Traditional Chinese Medicine from September 2015 to June 2017.The patients who met the inclusion criteria,in accordance with the adoption of the treatment of the 60 patients were divided into treatment group and operation control group two groups,respectively,using the technique of Adjustable Reset spinal external fixator group(treatment group)and percutaneous kyphoplasty(control group).The two groups were observed the 2 groups before treatment,after treatment,1 and 6 months after treatment.the percentage of vertebral height,Cobb angle,pain visual analogue scale(VAS)and lumbar dysfunction score(ODI).Results:1.Comparing the percentage of’ vertebral anterior margin of vertebral body after treatment:The treatment group after treatment anterior flange height percentage was 89.82+/-1.30%.the control group after treatment anterior flange height percentage was 91.99 +/-1.21%,using independent sample t test of’ the two kinds of data,respectively,the difference between them is very important in statistics(P<0.05).2.Comparing the Cobb angle after treatment:The Cobb angle of treatment group after treatment of was 5.41 +/-3.25 °,and the Cobb angle of control group after treatment was 3.88 +/-2.56 °.using independent sample t test of the two kinds of data,respectively,the difference between them is very important in statistics(P<0.05).3.Through treatment.,found that the treatment group with 6.76 +/-1.16 VAS score.the control for VAS score with 5.37 +/-0.97,using independent sample t test of the two kinds of data,respectively,the differences between them in statistics is very vital significance(P<0.05).4.Found that after 6 months of treatment,the treatment group with 2.3 +/-1.23 VAS score,control group is 2.2 +/-1.19 VAS score,using independent sample t test of the two kinds of data,respectively,the difference between them is not very important in statistical significance(P>0.05).5.At the time of 6 months of treatment,the treatment group lumbar dysfunction score(ODI)was 12.47 +/-3.86 points,the control group was 12.30 +/-3.72 points,use independent sample t test of the two kinds of data,respectively,the difference between them is not very important in statistical significance(P>0.05).Conclusion:For osteoporotic vertebral compression fractures were treated with hyperextension traction manual reduction combined with adjustable spinal external fixation assisted with functional exercise,no obvious difference compared with surgery in the treatment of 6 months of daily life and the improvement of the patients in the control group,it is worth popularizing in clinical use.