The clinical efficacy of microfocusing high-energy shockwave in the treatment of osteoporotic fracture

WU Zheng; FENG Yang-yang; YIN Yan-bin

doi:10.3969/j.issn.1009-4237.2017.02.016

Abstract：Objective To investigate the clinical efficacy of microfocusing high-energy shockwave in the treatment of osteoporotic fracture . Methods Sixty patients with osteoporotic vertebral bone fractures from Jan . 2013 to Jan.2014 in our hospital were divided into the control group and the observation group according to the treatment method.Patients in the control group were treated with conservative treatment ,and the observation group was treated with microfocusing high-energy shockwave .The postoperative pain VAS scores ,vertebral height restora-tion rate,Oswestry Disability Index,Cobb angle,proximal femur BMD and adverse reactions between two groups were compared.Results The VAS score after treatment in the observation group (3.2 ±1.0) was significantly lower than that of the control group [(6.3 ±0.9),P<0.05)].The fractures of vertebral height restoration rate ,Oswestry Disability Index and Cobb angle after treatment in the observation group [ ( 23.9 ±12.1 )%, ( 25.3 ±9.4 ) °and (14.2 ±4.1)°] were better than those in the control group [(34.8 ±13.4)%,(56.8 ±11.2) °and (19.3 ± 3.6)°,P<0.05].The BMD of proximal femur after treatment in the observation group [(0.611 ±0.112 g/cm2)] was significantly higher than that in the control group [(0.534 ±0.107) g/cm2,P<0.05].There was no serious adverse reaction in either groups . Conclusion Microfocusing high-energy shockwaves can significantly reduce pain,improve clinical parameters ,increase bone density and prevent bone loss ,meanwhile,it can improve the quality of life of the patients with osteoporotic fractures .It is worthy for clinical application .