| Objective:To analyze the efficacy and safety of unilateral puncture vertebroplasty in the treatment of Kummell's disease without neurological symptoms in stage ?.Methods:Clinical data of 19 patients with Kummell's disease without neurological symptoms treated by unilateral PVP from June 2016 to May 2019 were retrospectively collected,including 4 males and 15 females.The age ranged from 61 to 90 years old,with an average of(77.9±9.4)years old.The efficacy of the treatment plan was evaluated by comparing the relative height of the front edge of the affected vertebra,local Cobb Angle,visual analogue scale and the Oswestry disability index before,after and at the last follow-up.Use and at the time of the last follow-up postoperative blood sedimentation,C-reactive protein and the leakage of bone cement,adjacent vertebral fracture and spinal cord compression,and so on and so forth to evaluate the safety of the treatment plan.Results:Follow-up time of 19 patients ranged from 6 to 14 months,with an average of(10.1±2.5)months.The relative height of the anterior edge of the affected vertebra,local Cobb Angle,VAS score and ODI were 40.2%±5.8%,19.8°±9.2°,(8.14±1.36)points,80.30%±8.65%.On the first day after the operation,it was 65.7%±5.2%,10.4°±5.1°,(2.35±0.42)points,22.43%±7.54%.At the last follow-up,it was 62.4%±5.1%,11.5°±4.7°,(1.86±0.58)points,and 21.54%±7.86%.Postoperative 1 d related data compared with preoperative difference was statistically significant(P < 0.05).The last follow-up related data when there was no statistically significant difference compared with the postoperative 1 d(P > 0.05),postoperative follow-up and at the end of the time when the ESR and CRP.The normal range,in 4 cases,bone cement leakage no adjacent vertebral fracture and spinal nerve root injury,and so on.Conclusion:Unilateral PVP is a safe and effective method for Kummell patients without neurological symptoms in stage ?. |
PDF Full Text Request