![]() We reviewed each patient's clinical records and built the database. This was a retrospective cohort study, which included 472 patients with OTCF complicated with diabetes at our hospital from January to December 2019. Materials and methods General information Therefore, the present study investigated the clinical efficacy of PKP surgery in diabetic with osteoporotic thoracolumbar compression fractures complicated, and further analyzed the influencing factors. Although previous studies have shown that perioperative hyperglycemia, especially diabetes mellitus, is an important marker of adverse events in patients undergoing surgery ( 4), to our knowledge, the clinical effect of kyphoplasty for OTCF combined with diabetes has not been investigated till now. It can effectively prevent and cure the collapse of the vertebral body and greatly relieve the pain of the patient. This is a method of percutaneous injection of bone cement into the vertebral body through the pedicle to increase the strength and stability of the vertebral body. The fracture sites are mostly thoracolumbar vertebrae and hip, and currently percutaneous kyphoplasty (PKP) is the most common method for the treatment of osteoporotic thoracolumbar compression fractures (OTCF) ( 3). Diabetic osteoporosis is characterized by both diabetes and osteoporosis, and generally occurs in elderly patients with a long history of diabetes. DM can cause great harm to the human body, among which chronic complications of skeletal system have a high rate of death and disability, which can cause long-term bone pain and lead to diabetic osteoporosis ( 2). In multivariate regression, independent risk factors for poor patient satisfaction included: age ≥70 years (odds ratio (OR) = 2.298, 95% confidence interval 1.290–4.245, P = 0.025), fasting blood glucose ≥8 mmol/L, glycosylated hemoglobin ≥6.5 mmol/L, duration ≥8 years and Kyphon instrument were independent influencing factors of OTCF complicated with DM.Ĭonclusion: Kyphoplasty for patients with osteoporotic thoracolumbar compression fractures complicated with diabetes can achieve a satisfactory clinical effect, the curative effect is affected by many factors, attention to these factors can improve the clinical effect.ĭiabetes mellitus (DM) and osteoporosis are major public health problems in the aging population affecting people all over the world and are of serious health and financial concern ( 1). Results: The overall excellent and good rate of evaluation result was satisfactory. ![]() The quality of life was evaluated by visual analog score (VAS) and Oswestry disability index (ODI) before PKP and 7 days, and 6 months after PKP, and the patient satisfaction was assessed by the modified Macnab criteria at 6 months postoperatively. The effects of gender, age, smoking, drinking, body mass index (BMI), bone mass density (T score), fasting blood glucose level, fasting C-peptide, glycosylated hemoglobin, course of T2DM, vertebral segment and surgical instrument on postoperative improvement were analyzed. Methods: A total of 472 patients with OTCF complicated with diabetes who were enrolled in our hospital from January to December 2019 were selected as the study subjects, and all patients were treated with percutaneous kyphoplasty (PKP). Objective: To study the clinical effect and influencing factors of kyphoplasty in the treatment of osteoporotic thoracolumbar compression fractures (OTCF) complicated with type 2 diabetes mellitus (T2DM). 2Department of Spine Surgery, Honghui Hospital, Xi'an Jiaotong University, Xi'an, China.1Medical College, Yan'an University, Yan'an, China.Xiangcheng Gao 1,2, Jinpeng Du 2, Yunfei Huang 2, Shuai Li 2, Dingjun Hao 2, Baorong He 2 and Liang Yan 2*
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |