International Journal of Clinical Research

Objective To explore the clinical effect of percutaneous kyphosis in the treatment of thoracic and lumbar compression fractures in percutaneous kyphosis. Methods 57 elderly patients with osteoporotic thoracic and lumbar compression fractures admitted to Pingyang Peoples Hospital Affiliated to Wenzhou Medical University from January 2020 to December 2021 were selected as the subjects. All patients were treated with the reduction method of middle percutaneous vertebral posterior convexplasty to compare patients before and after surgery. Changes in visual analogue scale (VAS) scoring, ADL score, anterior edge height of the injured spine, Cobb angle (the angle of the upper and lower terminal extension line of the injured spine). Results The operation of all patients was successfully completed, with an average operating time (34.33±10.56) min and a bone cement injection volume (6.64±1.38) ml. Follow-up for 6 to 24 months, asymptomatic recurrence cases. Bone cement leakage occurred in 5 patients during surgery. The VAS score and Cobb angle of the postoperative 1d and last follow-up patients were significantly lower than that of the preoperative (P<0.05), and the ADL score and the height of the anterior edge of the vertebral were significantly higher than that of the preoperative (P<0.05). Conclusion The effect of percutaneous vertebral kyphosis and manipulation maintenance reduction in the treatment of elderly osteoporotic thoracic and lumbar compression fractures is obvious, the pain in postoperative patients is significantly relieved, the height of the vertebral body has recovered well, the bone cement leakage rate is low, and the curative effect is satisfactory.

osteoporosis, vertebral fracture, manipular reduction, percutaneous kyphosis