Abstract
The paper uses the SEPB algorithm to explore the value of X-ray and CT diagnosis in elderly patients with osteoporotic lumbar compressive fractures, while observing percutaneous kyphoplasty (PKP) in the treatment of elderly osteoporotic compression fractures with clinical efficacy. 38 elderly patients with fractured osteoporotic compression fractures who came to our hospital for treatment were included. All patients were diagnosed by X-ray and CT, the clinical data of all patients were analyzed, the imaging findings related to X-ray and CT diagnosis were clarified, and the diagnostic coincidence rate was analyzed. At the same time, PKP treatment was applied for clinical efficacy and Imaging analysis. And, follow-up was conducted for 2 months after operation. The results showed that compared with the X-ray diagnosis, the accuracy of CT diagnosis was 88.89% (32/38), and the difference between the groups was significant ( P < 0.05 ). 35 cases of low back pain disappeared after operation, and 3 cases of pain were significantly reduced without bone cement leakage. Postoperative imaging examination showed no space occupied in the spinal canal, and kyphosis deformity was significantly improved. The average height of the anterior vertebral column after injury was significantly increased ( P < 0.05 ). The Cobb angle returned to normal level, which was statistically significant compared with that before the operation ( P < 0.05 ). In conclusion, in the diagnosis of elderly patients with osteoporotic lumbar compression fractures, the coincidence rate of CT diagnosis is better than that of X-ray diagnosis. Therefore, the application rate of CT diagnostic methods in diagnosis is higher, which provides an effective basis for clinical diagnosis and treatment. PKP surgery is less invasive, safe, and has good clinical efficacy. It can quickly relieve pain and effectively restore the height of injured vertebrae. It is an ideal treatment method for elderly osteoporotic thoracolumbar vertebral compression fractures.
Highlights
Nowadays, the trend of aging in China is getting worse, and osteoporosis has a higher incidence. erefore, the incidence of osteoporotic lumbar compression fractures in elderly patients has increased significantly
OVCFs have no obvious clinical symptoms, but still 1/3 of fractures will be combined with pain, kyphosis, dysfunction, and other sequelae, which seriously affect the quality of life of patients. e main symptoms are pain, restricted mobility, and secondary dysfunction in multiple systems such as breathing, digestion, and cardiovascular disease, which are important causes of death in patients with osteoporosis. e traditional treatment method is long-term bed rest plus drug nonsurgical treatment
Osteoporosis is a skeletal metabolic disorder characterized by reduced bone mass and increased fracture risk, including bone mineralization disorders, bone calcium dissolution, decreased bone density, trabecular bone thinning, and easy to break. e strength of the bone decreases, the brittleness increases, and it is difficult to bear the original load. e more serious complication is vertebral compression fractures caused by osteoporosis
Summary
The trend of aging in China is getting worse, and osteoporosis has a higher incidence. erefore, the incidence of osteoporotic lumbar compression fractures in elderly patients has increased significantly. Erefore, the incidence of osteoporotic lumbar compression fractures in elderly patients has increased significantly. Osteoporotic vertebral compression fractures are a common condition of spinal fractures in the elderly. Ere are approximately 70,000 osteoporotic vertebral compression fractures each year in the United States, and 20% of patients have secondary fractures within 1 year. 2/3 of OVCFs have no obvious clinical symptoms, but still 1/3 of fractures will be combined with pain, kyphosis, dysfunction, and other sequelae, which seriously affect the quality of life of patients. E main symptoms are pain, restricted mobility, and secondary dysfunction in multiple systems such as breathing, digestion, and cardiovascular disease, which are important causes of death in patients with osteoporosis. Long-term bed rest is likely to lead to increased osteoporosis and complications; surgical treatment due to osteoporosis has a poor reduction and fixation effect and is prone to surgical complications.
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