Comparison of Curative Effect of Different Viscosities of Cement Cement Vertebroplasty on Osteoporotic Vertebral Compression Fractures in Elderly Patients
XIAO Fei, ZHANG Feng-feng
Baoji Second Hospital of Traditional Chinese Medicine,Shaanxi,721300
Abstract：【Objective】 To investigate the effect of cementum vertebroplasty with different viscosities on osteoporotic vertebral compression fractures in elderly patients . 【Methods】 A total of 97 elderly patients with osteoporotic vertebral compression fractures treated in our hospital were selected and divided into observation group (n=54) and control group (n=43) according to the viscosity of the bone cement used during the operation. The control group received low-viscosity bone cement percutaneous vertebroplasty (PVP), and the observation group received high-viscosity bone cement PVP. The clinical and radiological evaluation indexes, bone metabolism indexes, bone cement dosage, leakage rate, and other complications were compared between the two groups of patients. 【Results】 Comparison between two groups of clinical efficacy assessment indicators VAS score, ODI index, SF-36 score and imaging efficacy assessment indicators Cobb angle of kyphosis and anterior edge height of the vertebral body, The preoperative difference was not significant (P>0.05), The difference was significant at 1 week, 3 months and half a year after operation (P<0.05); Within the group, the differences were significant at 1 week, 3 months, and 6 months after operation (P<0.05). The comparison between the two groups of BALP, BGP, and CTX groups was not significant before surgery (P>0.05), and the difference at 3 months after surgery was significant (P<0.05). Within the group, the difference between 3 months and before surgery was significant (P<0.05). There was no difference in the amount of bone cement injected between the two groups of single vertebral body and double vertebral body (P> 0.05). The leakage rate of bone cement in the observation group was 9.26% (5/54) lower than that in the control group by 25.58% (11/43) (P<0.05). The incidence of other complications in the observation group was 11.11% (6/54) and the control group was 23.26% (10/43). The difference was not significant (P>0.05). 【Conclusion】 High-viscosity bone cement PVP for osteoporotic vertebral compression fractures in elderly patients has a lower leakage rate than low-viscosity bone cement, which can significantly relieve pain, improve vertebral function, improve quality of life, and improve bone metabolism. It is worthy of clinical promotion.
2021, Vol. 38 
