Comparison on Effects of Manual Reduction Combined with PVP and PKP in the Treatment of Osteoporotic Vertebral Compression Fracture
CAO Qiang,ZHOU Yu-hu,DUAN Ming-ming
Department of Orthopedics, Af.liated Hospital of Yan’an University, Yan’an 716000, China
Abstract:
Objective To compare the clinical effects of manual reduction combined with percutaneous vertebroplasty (PVP) and percutaneous vertebral kyphoplasty (PKP) in the treatment of fresh single-segment osteoporotic vertebral compression fractures (OVCF). Methods The clinical data of 63 patients with OVCF admitted to our hospital were retrospectively collected. According to the method of manual reduction combined with PVP, the patients were divided into observation group (32 cases) and control group (31 cases) by PKP method. The operation time, number of cement leakage cases, length of hospital stay, treatment cost, preoperative and postoperative injured anterior vertebrae height (AVH), kyphosis Cobb angle, pain visual analogue scale (VAS) score and Oswestry Dysfunction Index (ODI) score were recorded. Results All 63 patients successfully completed the operation. The operation time and treatment cost of the observation group were lower than those of the control group, and the differences were statistically signi.cant (P<0.05). There were no signi.cant differences in the number of cases of cement leakage and the length of hospital stay between the two groups (P>0.05). There were significant differences in postoperative and preoperative AVH, Cobb angle, VAS scores, and ODI scores between the observation and control groups (P<0.05). There were no statistically differences in AVH, Cobb angles, VAS scores and ODI scores between the groups (P>0.05). Conclusion Manual reduction combined with PVP and PKP can achieve satisfactory clinical results in the treatment of OVCF, but manual reduction combined with PVP has the advantages of short operation time and low treatment cost.
