Effect of joint hyperextension reset unilateral approach vertebral plasty in the treatment of osteoporotic thoracic lumbar vertebral compression fractures
WU Zutong
ZHANG Yiqun
YIN Jianwen
Abstract：Objective To observe the effect of combined reduction and unilateral approach vertebroplasty in the treatment of osteoporotic thoracic lumbar vertebral compression fractures.Methods From November 2012 to March 2016 in the Department of Orthopedics of the First Affiliated Hospital of Shaoyang University,80 cases of fresh osteoporotic vertebral compression fractures patients were enrolled,according to the different treatment methods,they were divided into surgery group and combined group,surgery group received a unilateral approach vertebroplasty treatment(38 cases);combined group accept hyperextension and unilateral approach vertebral body angioplasty treatment(42 cases).The intraoperative and postoperative recovery of the 2 groups were evaluated.Results Compared with pre-operation,after 24 weeks postoperatively,2 groups of VAS score and Cobb angle decreased(P<0.01);the 2 groups pre-operative VAS score and Cobb angle''s difference was not statistically significant(P>0.05),12 and 24 weeks after operation,combined group''s VAS score and Cobb angle were lower than the operation group.The difference was statistically significant(P<0.01).Compared with before treatment,the height of the leading edge of the vertebral body showed an upward trend(P<0.01)after the treatment,and the level of the leading edge of the vertebral body in the joint group was significantly better than that of the only surgery group,the difference was statistically significant(P<0.01);During the 24 week follow-up period,the incidence of postoperative complications in the combined group was lower than that in the only surgery group,and the difference was statistically significant(P<0.05).Conclusion Compared with the simple unilateral approach vertebroplasty,the extension reduction during the operation can effectively improve the postoperative recovery of osteoporotic vertebral compression fractures.
Keywords：Hyperextension resetUnilateral approach vertebral plastyOsteoporosisVertebral compression fractures
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 809-812 )