Objective: This paper aims to explore the clinical effects of percutaneous kyphoplasty (PKP) and hyperextension reduction combined with percutaneous vertebroplasty (PVP) in elderly patients with osteoporotic thoracolumbar compression fractures (OVCF). Methods: A sample of 62 elderly OVCF patients was selected. The admission time was from June 2022 to June 2023. They were randomly divided into a study group (n = 31) and a control group (n = 31) using computer software lottery method. Patients in the control group were treated with PKP, while patients in the study group were treated with hyperextension reduction combined with PVP. The operation time, hospitalization time, the number of fluoroscopy, treatment costs, visual analog pain score (VAS), vertebral body height, and Cobb angle of the injured vertebra were compared between the two groups. Results: The operation time, hospitalization time, number of fluoroscopy, and treatment costs of the patients in the study group were all lower than those in the control group (P < 0.05). The VAS scores of the two groups after surgery were lower than those before surgery, and there was no significant difference between the groups (P > 0.05). After surgery, the vertebral body heights in both groups were more significant than before surgery, and the Cobb angle of the injured vertebra was smaller than before surgery. There was no significant difference between the groups (P > 0.05). Conclusion: PKP and hyperextension reduction combined with PVP treatment in elderly patients with OVCF can relieve pain and restore vertebral body height and Cobb angle. However, hyperextension reduction combined with PVP treatment can shorten the operation time and hospitalization time, with low treatment cost, which has the potential value to be widely applied.
Chen H, Chen Y, Liu H, et al., 2019, Comparing the Effects of Hyperextension Traction Reduction Plus PVP and PKP in Treating Thoracolumbar Osteoporotic Fractures. Chinese Disability Medicine, 27(8): 25–27.
Chen G, Zheng J, Huang J, 2014, Comparative Study of Hyperextension Reduction Combined with PVP and PKP in Treating Osteoporotic Thoracolumbar Compression Fractures. International Medical and Health Herald, 20(7): 945–948.
Yuan L, Zheng W, Liang Y, et al., 2023, Comparison of the Efficacy of Hyperextension Compression Manipulation to Reduce PVP and Simple PKP Surgery in Treating Osteoporotic Vertebral Compression Fractures. Chinese Journal of Bone and Joint Injury, 38(3): 273–276.
Sun C, Liu T, Jia X, et al., 2022, Observation on the Efficacy of Lumbar Pillow Hyperextension Reduction Combined with Vertebroplasty in Treating Osteoporotic Vertebral Compression Fractures. Chinese Journal of Bone and Joint Injury, 37(7): 712–714.
Wang P, Zhang X, Qin D, et al., 2020, Research Progress on Finite Element Analysis of Manual Reduction Combined with Minimally Invasive Surgery in Treating Osteoporotic Vertebral Compression Fractures. Research in Traditional Chinese Medicine, 33(2): 71–74.
Liu J, Liu L, Sun R, et al., 2022, Analysis of the Effect of Combined Reduction Vertebroplasty and Kyphoplasty in Treating Osteoporotic Vertebral Fractures. Chinese Comprehensive Clinical Journal, 38(3): 250–255.
Qin D, Zhang X, Quan Z, et al., 2021, Finite Element Analysis of Differences in Mechanical Stability Changes of the Vertebral Body in Treating Osteoporotic Thoracolumbar Compression Fractures with Different Methods. Chinese Journal of Traditional Chinese Medicine, 36(8): 4886–4895.
Wang W, 2023, Comparison of the Effects of PKP and PVP Combined with Fracture Reducers in Treating OVCF on Patients’ Injured Vertebra Morphology and Low Back Function. Primary Medicine Forum, 27(8): 38–40.
Cao Q, Zhou Y, Duan M, et al., 2020, Comparative Analysis of the Efficacy of Manual Reduction Combined with Percutaneous Vertebroplasty and Percutaneous Kyphoplasty in Treating Osteoporotic Vertebral Compression Fractures. China Journal of Integrated Western Medicine Surgery, 26(1): 132–135.
Zhao H, Pan Q, Li D, 2023, Percutaneous Vertebroplasty and Percutaneous Kyphoplasty in Treating Osteoporotic Vertebral Compression Fractures: a Meta-Analysis of Randomized Controlled Studies. Air Force Journal of Military Medical University, 44(4): 340–346.
Wang Y, Wu X, Ding L, 2023, Effect of Modified Bushen Huoxue Decoction Combined with Zoledronic Acid on Osteoporosis after PKP/PVP of Thoracolumbar Compression Fracture in Older People. Chinese and Foreign Medical Research, 21(4): 30–35.
Wang G, Bo T, Zhao H, et al., 2021, Analysis of the Efficacy of PVP or PKP Combined with Zoledronic Acid in Treating Osteoporotic Thoracolumbar Fractures in Older People. Contemporary Medical Discussions, 19(17): 97–99.
Gu J, 2021, Comparison of Clinical Efficacy and Safety of Percutaneous Vertebroplasty (PVP) and Kyphoplasty (PKP) in the Treatment of Osteoporotic Vertebral Compression Fractures in Older People. Health Care Wenhui, 22(5): 101–102.