Rapid efficacy of percutaneous kyphoplasty (PKP) in treating thoracolumbar fractures in elderly patients

摘要

Objective: This study aims to investigate the effects of percutaneous kyphoplasty (PKP) on the elderly patients with thoracolumbar fractures and its influence on their complications and quality of life. Methods: Totally 175 elderly patients with thoracolumbar fractures admitted to our hospital from June 2017 to January 2019 were selected as the research participants. Seventy patients in the control group (CG) were treated with conventional therapy, and 105 in the research group (RG) were treated by percutaneous kyphoplasty (PKP). The surgical indications (time of hospitalization and ground exercise), pressure injury and pain (VAS score) of patients in both groups were tested and compared. The ODI score, quality of life GQOLI-74 scale score, height of anterior vertebral border and cobb angle of patients were compared, and their total effective and complication rates were statistically analyzed. Results: The surgical indications of patients in the RG were better than those in the CG. Those with pressure injury in stages 1 and 2 were fewer, and VAS and ODI scores were lower; GQOLI-74 scale score was higher, height of anterior vertebral border was higher than that in the CG, and the cobb angle was smaller The total effective rate was higher and the incidence of complications was lower than that in the CG. Conclusion: PKP is more effective and faster in treating thoracolumbar fractures in elderly patients with fewer postoperative complications, and can promote the recovery of function and quality of life.