弯角椎体成形术联合平乐三七接骨丸治疗骨质疏松性腰椎压缩骨折的疗效观察OA

Objective To evaluate the clinical efficacy of Pingle Sanqi Jiegu Pill in assisting percutaneous curved vertebroplasty(PCVP)for the treatment of osteoporotic lumbar compression fractures.Methods A total of 60 patients with osteoporotic lumbar compression fractures who visited the spinal surgery department of Zhengzhou Branch of Luoyang Orthopedic Hospital from June 2023 to June 2024 were randomly divided into a control group and an observation group,with 30 cases in each group.All patients underwent PCVP,and the observation group started oral administration of Pingle Sanqi Jiegu Pill on the first day after surgery.The visual analog scale(VAS)scores,Oswestry Disability Index(ODI),bone mineral density levels,anterior height ratio of the injured vertebrae,and Cobb angle of ky-phosis were analyzed at different time points(2 days,1 month,and 3 months post-surgery)to evaluate the clinical efficacy of kyphoplasty combined with Pingle Sanqi Jiegu Pill in treating osteoporotic lumbar compression fractures.Results There were significant differences in VAS scores and ODI between the two groups at 2 days,1 month,and 3 months post-surgery compared to pre-surgery(P<0.05);the VAS scores and ODI index of the observation group at 1 month and 3 months post-surgery were significantly lower than those of the con-trol group(P<0.05).The bone mineral density level of the observation group at 3 months post-surgery was significantly different from that before surgery(P<0.05)and was significantly better than that of the control group(P<0.05).The anterior height ratio of the injured vertebrae and Cobb angle of kyphosis at 2 days,1 month,and 3 months post-surgery were significantly different from those before surgery(P<0.05),and the difference between the observation group and the control group at 3 months post-surgery was significant(P<0.05).Conclusion The combination of PCVP and Pingle Sanqi Jiegu Pill in patients with osteoporotic lumbar compression fractures can signifi-cantly reduce low back pain,improve bone mineral density levels,and enhance the Cobb angle and lumbar function,with efficacy signifi-cantly better than that of kyphoplasty alone.