PKP治疗老年骨质疏松性脊柱骨折患者对其椎体高度和Cobb角及脊柱功能的影响分析  

Effect of PKP on Vertebral Height and Cobb Angle and Spinal Function in Elderly Patients with Osteoporotic Spinal Fracture

作　　者：翟连锁 刘超 赵春亮 ZHAI Liansuo;LIU Chao;ZHAO Chuniang(Department of Orthopedics,Jiyang District People’s Hospital,Jinan 250000,China)

机构地区：[1]山东省济南市济阳区人民医院骨科,山东济南250000

出　　处：《中国伤残医学》2025年第1期5-9,共5页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨经皮椎体后凸成形术(PKP)在老年骨质疏松性脊柱骨折患者中的治疗效果。方法:回顾性分析2021年7月—2024年5月济南市济阳区人民医院收治的86例老年骨质疏松性脊柱骨折患者的资料,患者均在研究结束时间前完成随访。按手术方法的不同将其分为对照组和研究组,各43例。对照组采用经皮椎体成形术(PVP)治疗,研究组采用PKP治疗。两组均持续观察至术后3个月。比较两组椎体高度、Cobb角、脊柱功能、并发症发生情况及生活质量。结果:术后3个月,两组椎体高度均高于术前,且研究组高于对照组,差异均有统计学意义(P<0.05)。术后3个月,两组椎体后凸Cobb角均小于术前,且研究组小于对照组,两组Oswestry功能障碍指数评分均低于术前,且研究组低于对照组,差异均有统计学意义(P<0.05)。研究组并发症发生率4.56%低于对照组的18.60%,差异有统计学意义(P<0.05)。术后3个月,两组世界卫生组织生存质量测定量表评分均高于术前,且研究组高于对照组,差异均有统计学意义(P<0.05)。结论:相较于PVP,PKP在老年骨质疏松性脊柱骨折患者中治疗效果更好,可更好地改善患者椎体高度、Cobb角及脊柱功能,降低并发症发生率,提升生活质量。Objective:To investigate the therapeutic effect of percutaneous kyphoplasty(PKP)in elderly patients with osteoporotic spinal fractures.Methods:The data of 86 elderly patients with osteoporotic spinal fracture admitted to Jiyang District People’s Hospital of Jinan City from July 2021 to May 2024 were retrospectively analyzed.All patients were followed up before the end of the study.According to different surgical methods,they were divided into control group and study group,with 43 cases in each group.The control group was treated with percutaneous vertebroplasty(PVP),and the study group was treated with PKP.Both groups were observed until 3 months after surgery.Vertebral height,Cobb Angle,spinal function,complications and quality of life were compared between the two groups.Results:Three months after surgery,the vertebral body height in both groups was higher than before surgery,and the study group was higher than the control group,the differences were statistically significant(P<0.05).At 3 months after surgery,the Cobb angle of kyphosis in both groups was smaller than before surgery,and the study group was smaller than the control group,and the Oswestry Disability Index score in both groups was lower than before surgery,and the study group was lower than the control group,with statistical significance(P<0.05).The complication rate of 4.56%in the study group was lower than 18.60%in the control group,the difference was statistically significant(P<0.05).Three months after surgery,the World Health Organization Quality of Life-BREF score of the two groups was higher than that before surgery,and the study group was higher than the control group,the differences were statistically significant(P<0.05).Conclusion:Compared with PVP,PKP is more effective in the treatment of elderly patients with osteoporotic spinal fracture,which can better improve the vertebral height,Cobb angle and spinal function,reduce the incidence of complications,and improve the quality of life.

关 键 词：骨质疏松性脊柱骨折 经皮椎体后凸成形术 椎体高度 脊柱功能 

分 类 号：R68[医药卫生—骨科学]