Résumé
【Objective】 To evaluate the safety and efficacy of balloon-expandable vertebral body stenting （VBS） in treating elderly patients with osteoporotic vertebral compression fractures. 【Methods】 Thirty-eight elderly patients with osteoporotic vertebral compression fractures were randomly divided into two groups according to the parity of their hospital admission numbers to receive VBS and traditional percutaneous kyphoplasty （PKP）， respectively. The two groups were compared regarding changes in the intensity of pain， functional score， imaging parameters related to vertebral compression， and sagittal Cobb angle as well as the incidence of bone cement leakage after treatment， to evaluate the safety and efficacy of VBS. 【Results】 All the patients underwent the operations smoothly， which were performed with the bilateral percutaneous puncture technique under local anesthesia by the same surgeon， and were followed up for more than half a year. Both VBS group and PKP group showed significant improvement in the visual analogue scale score， the Oswestry disability index， the height of the fractured vertebral body， and the Cobb angle at 3 days， 1 month， 3 months and 6 months after treatment （all P<0.05）. There were significant differences in those indicators between the two groups （all P<0.05）. 【Conclusion】 VBS is an effective treatment approach for elderly patients with osteoporotic vertebral compression fractures. It can effectively recover fractured vertebral body height， relieve patients’ pain， and have fewer complications such as bone cement leakage.
Résumé
【Objective】 To compare the efficacy of percutaneous vertebroplasty （PVP） and facet blocking （FB） in the treatment of osteoporotic vertebral compression fractures. 【Methods】 From January 2015 to June 2019， 162 patients with osteoporotic vertebral compression fracture were treated with PVP and FB. Among them， PVP group （86 cases） received PVP treatment and FB group （76 cases） received FB treatment. We compared the perioperative related indexes， the height of the anterior edge of the injured vertebrae， the sagittal kyphosis Cobb angle， visual analogue score， dysfunction index and lumbar dysfunction score of preoperative and postoperative follow-up （1 day， 1 week， 1 month， 3 months， 6 months， and 12 months） in both groups. 【Results】 There was significant difference in operation time between PVP group ［（34.25±6.04）min）］ and FB group ［（21.47±4.58）min］ （P0.05）， but there was significant difference in the height of anterior margin of injured vertebrae between the two groups at 3 days， 6 months and 12 months after operation （P0.05）， but after operation（P0.05）. 【Conclusion】 Both PVP group and FB group have effectively relieved pain. The results of this study suggest that FB can become an alternative treatment for PVP in some patients， such as the poor， elderly and pain-tolerant ones.
Résumé
Abstact:Objective To explore the effect of different arrangement of hollow screws in treatment of femoral neck fracture.Methods The clinical data of 160 cases with femoral neck fracture from March 2010 to May 2014 in our hospital were collected.They were randomly di-vided into triangle group and inverted triangle group according to arrangement of hollow screws.The operation time,intraoperative blood loss, fluoroscopy frequency in operation,length of stay,time of fracture healing,postoperative complications,Harris score and functional recovery of two groups were recorded and compared.Results The operation time and intraoperative blood loss in inverted triangle group were lower than those in triangle group,the difference was significant(P 0.05).Conclusion Inverted tri-angle hollow screws treating femoral neck fracture makes surgery operation easier,operative time shorter and blood loss smaller.