Selection of surgical treatment approaches for old osteoporotic vertebral compression fractures:a retrospective study of 238 cases  

作　　者：Xu Zhengwei Hao Ding jun Dong Liang Yan Liang He Baorong 

机构地区：[1]Cervical Ward of Spine Hospital,the Affiliated Honghui Hospital of Xi*an Jiaotong University,Xi^an 710054,China

出　　处：《美中国际创伤杂志》2021年第1期32-40,共9页U.S.Chinese International Journal of Traumatology

摘　　要：Background:As the population ages,osteoporotie vertebral compression fractures(OVCF)are in-creasing,as are acute and chronie pain episodes and progressive spinal deformities.Therefore,the aim of our study was to investigate the treatment of symptomatic old osteoporotic vertebral compression fractures.Methods:A retrospective study was designed to enroll patients with symptomatic old OVCFs from June 2013 to 2016.According to the complexity of the disease,the patients were divided into I to V grades,and the surgical methods were developed according to the grades.Postoperative visual analog score(VAS),Oswestry disability index(ODI)scores,sagittal index(SI)and ASIA grades of neurological function were observed.Results:VAS score,ODI score and SI of all patients were significantly improved as compared with that before surgery,and the results of the final follow-up were statistically significant in comparison to preoperative outcome(P<0.05).All the 16 patients with nerve injury showed signifcant improvement after surgery.The AISA grade were improved from grade C(14 cases),grade D(2 case)to grade D(4 cases)and grade E(12 cases).Conclusion:Old OVCFs are difficult to treat.Graded surgery can better restore spinal stability and improve clinical outcomes.

关 键 词：Old osteoporotic vertebral compression fractures Graded surgery Visual analog score Oswestry disability index Sagittal index 

分 类 号：R68[医药卫生—骨科学]