Effect of percutaneous vertebroplasty on the degree of surgical trauma and spinal function
经皮椎体成形术治疗老年胸腰椎骨折对患者手术创伤程度及脊柱功能的影响

摘要

目的 分析经皮椎体成形术治疗老年胸腰椎骨折对患者手术创伤程度及脊柱功能的影响。方法 以创伤性胸腰椎椎体骨折患者为分析目标，时间以2023.2-2024.6为节点，纳入60例患者为研究对象。对照组和观察组各30例患者，分别接受内固定治疗与经皮椎体成形术治疗，观察两组患者手术效果的差异。结果 术后观察组患者手术相关指标和椎体前缘高度、Cobb角明显好于对照组，同时观察组患者ODI、JOA、VAS评分均优于对照组，两组之间数据差异显示，治疗效果更好，治疗安全性更高，P＜0.05。结论 创伤性胸腰椎椎体骨折经皮椎体成形术治疗后疗效确切，手术实施安全可靠，可有效改善患者围手术期各项指标，促进患者术后伤椎稳定性恢复更好。

Abstract

Objective To analyze the effect of percutaneous vertebroplasty on the degree of surgical trauma and spinal function in the treatment of elderly thoracolumbar fractures.
Methods Patients with traumatic thoracolumbar vertebral fractures were analyzed, and the time was from February 2023 to June 2024. A total of 60 patients were included in the study. There were 30 patients in the control group and 30 patients in the observation group, who received internal fixation treatment and percutaneous vertebroplasty treatment, respectively, and the difference in surgical effects between the two groups was observed.
Results The surgical-related indicators, vertebral anterior edge height, and Cobb angle of the observation group were significantly better than those of the control group. At the same time, the ODI, JOA, and VAS scores of the observation group were better than those of the control group. The difference in data between the two groups showed that the treatment effect was better and the treatment safety was higher, P < 0.05.
Conclusion   Percutaneous vertebroplasty for traumatic thoracolumbar vertebral fractures has a definite effect, the operation is safe and reliable, and can effectively improve the perioperative indicators of patients and promote the better recovery of the stability of the injured vertebra after surgery.