Effect of cement reinforced pedicle screw fixation in the treatment of osteoporotic thoracolumbar vertebrae fracture and its effect on quality of life / 中国基层医药

ABSTRACT

Objective To observe and evaluate the clinical effect of cement reinforced pedicle screw fixation in the treatment of osteoporotic thoracolumbar fractures and its effect on the quality of life.Methods From April 2015 to June 2017,60 patients with osteoporotic thoracolumbar fractures were selected from Shanxi Coal Center Hospital.The patients were divided into two groups according to different treatment method,with 30 cases in each group.Routine percutaneous vertebroplasty was performed in the control group,and bone cement reinforced pedicle screw fixation was performed in the observation group.The scores of health and function,life satisfaction score,the scores of social and economic factors,self-concept score,visual analogue scale (VAS) and Cobb's angle were calculated and evaluated before operation and 6 months after operation in the two groups.Results The scores of health and function,life satisfaction,social and economic factors,self-concept in the observation group at 6 months after operation were (60.2 ± 6.0) points,(39.8 ± 4.0) points,(32.0 ± 3.5) points,(47.7 ± 4.0) points,respectively,which were significantly higher than those in the control group [(48.0 ± 5.5) points,(32.4 ± 3.0) points,(29.3 ±2.0) points,(44.0 ± 3.3) points],the differences were statistically significant (t =8.988.106,3.668,3.908,all P ＜0.05).The VAS score in the observation group was significantly lower than that in the control group at 6 months after operation [(1.5 ± 0.4) points vs.(2.3 ± 0.8) points] (t =4.898,P ＜ 0.05).The Cobb angle of the observation group [(5.3 ± 1.0) °] was significantly lower than that of the control group [(14.0 ± 2.2) °] at 6 months after operation (t =19.718,P ＜ 0.05).Conclusion Treatment of osteoporotic thoracolumbar vertebrae fracture with bone cement reinforced pedicle screw fixation has better clinical effect and can obviously improve the quality of life.