The Clinical Effect Of Treating Osteoporotic Vertebral Compression Fracture With Kyphoplasty

Objective To explore the efficacy of percutaneous kyphoplasty withanti-osteoporosis drugs and rehabilitative exercise for osteoporoticvertebral compression fractures.Methods A study from2008to2010was reviewd48patients with osteoporoticvertebral compression fracture, treated with kyphoplasty combined withanti-osteoporosis drugs and rehabilitation exercise,63vertebral body in total. Wecompare the pain before and after surgery in visual analogue score (VAS) plus thechanges in the height of the anterior border of vertebra and Cobb’s angle toevaluate the effect of the kyphoplasty.Results Around70.8%patients had complications before the surgery.Through the active treatment of preoperative complications, all patients wereaccepted successful operation. One case had intervertebral cement leakage, butdidn’t have neurological symptom. The VAS before surgery was8.3±0.41pointsand after surgery2.98±0.47points, there were statistically significant(P<0.05).The average vertebral height of anterior border was14.4±1.1mm,after surgery an average vertebral height of anterior border was22.5±1.3mm, there were statistically significant(P<0.05).The mean Cobb’s angle correctedform (21.7±3.5)°to（10.8±1.6）°The changes of Cobb’s angle has statisticallysignificant (P<0.05).Conclusion The Percutaneous kyphoplasty is an effective and safe proceduretreatment for osteoporotic compression fractures, which has little trauma and fewcomplications, relieve the pain rapidly and effectively, and restore vertebralheight of anterior border and correct the Cobb’s angle. The efficacy ofpercutaneous kyphoplasty, combined with anti-osteoporosis drugs andrehabilitative exercise to treat osteoporotic compression fractures wassatisfaction.