Abstract:

BACKGROUND: Percutaneous vertebroplasty technique and kyphosis vertebroplasty have been more widely used in clinic, which is considered as the ideal treatment for osteoporotic thoracolumbar vertebral compression fractures.
OBJECTIVE: To observe the clinical effects of bone-setting manipulation combined with percutaneous vertebroplasty versus percutaneous kyphosis vertebroplasty on osteoporotic thoracolumbar vertebral compression fractures.
METHODS: Totally 59 cases with osteoporotic thoracolumbar vertebral compression fractures were divided into A and B group: A group was treated with bone-setting manipulation combined with percutaneous vertebroplasty, including 38 cases; B group received treatment with percutaneous kyphosis vertebroplasty, including 21 cases. The clinical therapeutic effects of the two groups were compared by observing the changes in anterior vertebral height, central vertebral height, visual analogue scale scoring, Cobb angle, fees and so on.
RESULTS AND CONCLUSION: Anterior vertebral height, central vertebral height, visual analogue scale scoring, Cobb angle in the two groups were significantly improved after treatment (P < 0.05), but there was no significant difference between the two groups (P > 0.05). The fees in the A group were significantly lower than those in the B group (P < 0.05). Bone-setting manipulation with percutaneous vertebroplasty versus percutaneous kyphosis vertebroplasty has a certain effect, and can relieve fees, which can be selected as the preferred treatment for osteoporotic thoracolumbar vertebral compression fractures in the elderly.