Clinical Research on Percutaneous Kyphoplasty Combined with Bone-setting Manipulation in Treatment of Osteoporotic Vertebral Compression Fractures and Intravertebral Vacuumcleft
ZHAO Xiao-ming,CHEN Chang-chun
Department of Orthopaedics, Baoji Central Hospital, Baoji (721008), China
Abstract:
Objectives To compare the ef?cacy of percutaneous kyphoplasty (PKP) combined with bone- setting manipulation in treatment of osteoporotic vertebral compression fractures (OVCF) and intravertebral vacuumcleft (IVC), and explore the mechanism. Methods The patients (86 cases) with OVCF and IVC who visited the orthopedics department were selected and divided into experimental group and control group according to the random number table, each group had 43 cases. The patients in control group were treated with PKP, and the patients in experimental group were given bone-setting manipulation on the basis of the control group. Visual-analogue scale (VAS) score and Oswestry disability index (ODI) were used to evaluate the pain relief and functional improvement before surgery, 1 week after surgery, 1 month after surgery and 6 months after surgery; the height of injured vertebral and angle of Cobb were compared by imaging. Results Frontal height, Cobb angle, VAS score and ODI score before and after treatment between two groups were statistically signi?cant different. The interaction was analyzed by repeated measurements and the difference was statistically signi?cant (P<0.001). There was no statistically significant difference in total leakage rate between the two groups in postoperative (χ2=1.325，P =0.433>0.05). Conclusion PKP combined with bone-setting manipulation can restore the compliance of vertebral body, maintain the stability of spine, improve the quality of life of patients, and has high safety, which is worthy of clinical promotion.
