Abstract
To investigate the clinical effects of Bushen Jiangu Decoction combined with percutaneous vertebroplasty (PVP) in the treatment of elderly patients with osteoporotic thoracolumbar vertebral compression fracture (OVCF). Seventy-four elderly patients with OVCF were enrolled in our hospital and randomized by digital table method, 37 cases each. The control group received PVP treatment, and the observation group was treated with Bushen Jiangu Decoction on the basis of PVP treatment. Cobb angle, bone mineral density, Oswestry dysfunction index questionnaire (ODI) score, and visual analogue scale (VAS) were compared before and after treatment. After treatment, the Cobb angle of the observation group was smaller than that of the control group, and the bone density was higher than that of the control group (P<0.05). The ODI score of the observation group was lower than that of the control group after treatment (P<0.05); 1 month and 3 months after treatment, the VAS score of the 6-month observation group was lower than that of the control group (P<0.05). Bushen Jiangu Decoction combined with Western medicine in the treatment of elderly patients with OVCF can restore Cobb angle, increase bone density, reduce postoperative pain and improve thoracic and lumbar spine function.
Highlights
Osteoporosis is a common disease in the elderly
Percutaneous vertebroplasty (PVP) is a minimally invasive procedure with minimal trauma, which can repair the mechanical structure of the thoracolumbar spine and relieve thoracolumbar pain
There was no significant difference in Cobb angle and bone density between the two groups before and after treatment (P>0.05)
Summary
Osteoporosis is a common disease in the elderly. In elderly patients with osteoporosis, the bone strength is reduced, the fragility is increased, and the thoracolumbar spine can be fractured with mild force. Due to the low bone density of elderly patients with OVCF, it may affect the recovery of thoracolumbar function after operation. The main bone of the kidney is myelin, and the spleen and kidney are weak, so it is impossible to make bone marrow and bone. It should be treated with kidney and bone. The effects of Bushen Jiangu Decoction combined with PVP on the function and pain of thoracolumbar spine were investigated
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