| Objective:The comprehensive curative effect of facet joint injection and percutaneous kyphoplasty in the treatment of mild vertebral fragile fractures was compared and observed,and their advantages and disadvantages were preliminarily analyzed to provide a reference for the selection of clinical treatment methods for mild vertebral fragile fractures.Methods:Sixty-eight patients who were hospitalized from March 2018 to September 2019 and were diagnosed with mild vertebral fragile fracture met the inclusion criteria were randomly divided into group F and group K,34 in each group,group F was facet joint injection group,and group K was percutaneous kyphoplasty treatment group.On the basis of standard antiosteoporosis treatment according to the 2017 edition of the Guidelines for the Diagnosis and Treatment of Primary Osteoporosis,group F was treated with facet joint injection combined with a supine lumbar pillow,and group K was treated with percutaneous kyphoplasty.The data of the two groups were recorded before treatment,1 week after treatment and at 1,3 and 6 months after treatment,and the analgesic effect was evaluated by visual pain scoring method and dysfunction index questionnaire;the vertebral stability was evaluated by anterior vertebral height and Cobb angle;the change of lumbar vertebral bone density after antiosteoporosis was recorded,and the incidence of adjacent vertebral re-fracture was collected.Observed indicators at different periods were collected for statistical analysis within and between groups.Results:Compared with the pre-treatment,the VAS and ODI scores of patients with facet joint injection and P KP at each period after treatment were significantly reduced,the difference was statistically significant(P < 0.01),and the lumbar BMD of patients in the two groups was significantly increased at 6 months(P < 0.05);the anterior vertebral height and kyphosis angle of patients in group K were better than those before treatment at 3 and 6 months after treatment(P < 0.01),while those in group F were not improved compared with those before treatment.Significant(P > 0.05).Compared with group K,the VAS and ODI scores of group F were significantly higher than those of group K at 1 week and 1 month after treatment(P<0.05),but there was no significant difference between the two groups at 3 and 6 months(P>0.05);the anterior vertebral height and kyphosis angle of group K were better than those of group F at all time points after treatment(P<0.01);the incidence of adjacent vertebral re-fracture in group F and group K was 8.82% and 17.6%,respectively,with no significant difference.(P > 0.05).Conclusion:In this study,we found that facet joint injection and PKP surgery have significant effects on improving pain and dysfunction caused by mild vertebral fragile fracture,and both achieved good clinical results.PKP has certain advantages in rapid analgesia,improvement of patients’ dysfunction and reduction of kyphosis angulation deformity,but there is no significant difference between the facet joint injection group and the percutaneous kyphoplasty group in relieving pain and improving dysfunction after 3 months,so a refined treatment scheme can be formulated according to the patient’s condition.After standard antiosteoporosis treatment,bone mineral density and quality of life of patients can be significantly improved at 6 months.For patients with conservative treatment intent or with more underlying diseases who cannot tolerate surgery,active rehabilitation exercise is also an effective treatment for mild fragile fractures after facet joint injection analgesia and standard anti-osteoporosis treatment. |
PDF Full Text Request