Objective To investigate vertebroplasty (PVP) and kyphoplasty (PKP) in the treatment of senile osteoporotic vertebral compression fractures. Methods A retrospective study was carried out on 51 elderly patients with osteoporotic vertebral compression fractures in our hospital from August 2010 to February 2012. 15 cases received PVP treatment (PVP group), and 36 cases received PKP treatment of (PKP group), from which pain relief degree, vertebral height restoration rate, the vertebral kyphosis angle recovery rate and complications were statisticaly analyzed and compared. Results 46 cases (13 patients in PVP group and 33 in PKP group) were folowed up for 6 to 12 months. Back pain was significantly aleviated in both groups. There was significant difference (P<0.05) for visual analogue scale in both groups three days after surgery compared to preoperational result. When PVP group compared with the PKP group, the differences of vertebral compression rate, vertebral height recovery rate and vertebral kyphosis angle recovery rate were statisticaly significant (P <0.05) at three days, six months and 12 months after operation. For al patients, there were no bone cement spinal leak, spinal nerve root injury, pulmonary embolism or other complications. Conclusion PVP and PKP can rapidly relieve pain with good therapeutic effect, can partialy restore vertebral height and kyphosis, which make an effective method for the treatment of senile osteoporotic vertebral compression fractures.% 目的探讨椎体成形术(PVP)和椎体后凸成形术(PKP)在治疗老年骨质疏松性椎体压缩性骨折中的应用.方法回顾2010年8月~2012年2月我院对51例老年骨质疏松性椎体压缩性骨折的治疗,采用PVP治疗15例(PVP组),采用PKP治疗36例(PKP组),从疼痛缓解程度、椎体高度恢复率、椎体后凸角度恢复率、并发症等方面对两组进行统计学分析比较.结果获得随访46例,PVP组13例,PKP组33例,随访时间6~12个月.两组患者术后背部疼痛均明显缓解.PVP组及PKP组术后三天视觉疼痛模拟评分与术前相比,差异有统计学意义(P<0.05)；术后三天、6个月和12个月椎体压缩率、椎体高度恢复率及椎体后凸角度恢复率PVP组与PKP组相比,差异均有统计学意义(P<0.05).所有患者均无骨水泥椎管内渗漏、脊髓神经根损伤、肺栓塞等并发症.结论 PVP及PKP能迅速缓解疼痛,疗效确切,可不同程度恢复椎体高度和后凸角度,是治疗老年骨质疏松性椎体压缩性骨折的一种有效方法.
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