PVP与PKP治疗新鲜骨质疏松性椎体压缩骨折的有效性及安全性分析

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Abstract Objective Toevaluate the efficacy and safety of percutaneous vertebroplasty (PVP) and percutaneous balloon kyphoplasty (PKP) in fresh osteoporotic vertebral compression fractures.Methods We retrospectively collected medical records and images of 129 patients with fresh fractures between 2017 and 2018.Preoperative and postoperative anterior vertebral body height，Cobb’s angle，activities of daily living (ADL)score，pain visual analogue score(VAS)，length of hospital stay，bone cement dosage，cement leakage and complications were included in the analysis.Results There were significant differences in the height of the anterior vertebral body，Cobb's angle and VAS score between pre-operation and post-operationin the PVP and PKP group(P＜0.01)，while statistical difference in ADL scoreonly in PVP group(P＜0.01).There were no notable differences in length of hospital stays，volumeof bone cement，leakage events and perioperative complications between the two groups.With regard to the fresh fractures complicated withold compressions，there weresignificant differences in the height of the anterior body，Cobb’s angle and VAS between pre-operation and post-operation in both groups(P＜0.05).Conclusion Both PVP and PKP can effectively restore the height loss of fresh compressions，improve kyphosis and relieve pain.In addition，PVP and PKP are equally safe and effective in fresh fractures complicated with old compressions，but both have poor performance in improving daily activities.

Key words： fresh osteoporotic vertebral compression fractures percutaneous vertebroplasty percutaneous balloon kyphoplasty old

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	Ju Jiabao
	Zhang Peixun *

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Ju Jiabao,Zhang Peixun *. Efficacy and Safety of PVP and PKP in Freshosteoporotic Vertebral Compression Fracture[J]. sygkzz, 2019, 25(10): 865-869.

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http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2019/V25/I10/865

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