目的：研究椎体内裂隙样变对椎体成形术治疗椎体压缩骨折疗效的影响，为临床治疗提供可参考依据。方法抽取我院骨科2010年1月～2014年收治的骨质疏松性椎体压缩骨折患者108例，进行研究。按照骨折类型分为椎体内裂隙样变伴骨质疏松性椎体压缩骨折为研究组50例，单纯性骨质疏松性椎体压缩骨折为对照组58例。所有研究对象均接受椎体成形术治疗，统计两组术后1周局部疼痛缓解及功能改善情况。结果研究组术前VAS评分为（8.4±0.5），术后为（2.3±0.4）；对照组术前VAS评分为（7.3±0.4），术后为（2.4±0.3）；研究组术前ODI均值为（80.7±2.3），术后为（21.5±3.2）；对照组术前ODI均值为（77.9±2.1），术后为（22.4±3.3），数据差异具有显著意义（P＜0.05）。结论 PVP治疗椎体压缩骨折效果显著，椎体内裂隙样变对PVP疗效无显著影响，对术后并发症类型具有一定影响。%Objective The study of vertebral fractures degeneration of vertebroplasty in the treatment of vertebral compression fractures affect, and provide reference for clinical treatment.Methods Extraction orthopedic hospital in 2010~2014 treated osteoporotic vertebral compression fractures were 108 cases, were studied. According to the type of fracture, the study group was within the vertebral fracture amyloidosis with osteoporotic vertebral compression fractures of; the control group: 50 cases of simple osteoporotic vertebral compression fractures of 58 patients. All subjects underwent vertebroplasty treatment, statistics postoperative 1 week partial pain relief and functional improvement.ResultsPreoperative VAS score before the study group was (8.4 ± 0.5), surgery was (2.3 ± 0.4); control group before preoperative VAS score was (7.3 ± 0.4), after the former (2.4 ± 0.3); ODI study group of patients with mean (80.7 ± 2.3, postoperative was (21.5 ± 3.2); control group before surgery ODI mean (77.9 ± 2.1), postoperative (22.4 ± 3.3), the data have signiifcant differences (P<0.05).ConclusionPVP treatment of vertebral compression fractures results are obvious, like changes in the vertebral fracture had no signiifcant effect on the efifcacy of PVP has a certain inlfuence on the type of postoperative complications.
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