Objective:To explore the efficacy and mechanism of warm needling moxibustion plus percutaneous kyphoplasty(PKP)for osteoporotic vertebral compression fracture(OVCF)due to kidney deficiency and blood stasis.Methods:A t...Objective:To explore the efficacy and mechanism of warm needling moxibustion plus percutaneous kyphoplasty(PKP)for osteoporotic vertebral compression fracture(OVCF)due to kidney deficiency and blood stasis.Methods:A total of 70 OVCF patients were randomized into a control group and an observation group,with 35 cases in each group.The control group was given PKP treatment,and the observation group was treated with warm needling moxibustion on the basis of the treatment in the control group.The visual analog scale(VAS)and Oswestry disability index(ODI)were scored and the Cobb angle of fractured vertebrae was measured before and after treatment.The re-fracture rate of the adjacent vertebrae was recorded at 1-year follow-up.The serum levels of transforming growth factor(TGF)-β1 and omentin-1 were measured before and after treatment.Results:After treatment,the VAS and ODI scores in both groups decreased(all P<0.05),and all the scores in the observation group were lower than those in the control group(both P<0.05).After treatment,the Cobb angle of fractured vertebrae in both groups decreased(both P<0.05),and the Cobb angle in the observation group was smaller than that in the control group(P<0.05).At 1-year follow-up,the re-fracture rate of the adjacent vertebrae in the observation group was lower than that in the control group(P<0.05).After treatment,the serum levels of TGF-β1 and omentin-1 in both groups increased significantly(all P<0.05),and the serum levels of TGF-β1 and omentin-1 in the observation group were higher than those in the control group(both P<0.05).Conclusion:The treatment of warm needling moxibustion plus PKP can relieve pain,improve dysfunction,promote healing of the injured vertebrae,and reduce the re-fracture rate of the adjacent vertebrae in patients with OVCF due to kidney deficiency and blood stasis,which may be related to the increase of serum TGF-β1 and omentin-1 levels.展开更多
Objective： To evaluate the short-term outcomes of short segmental pedicle screw fixation combined with percutaneous vertebroplasty in treatment of nonadjacent thoracolumbar fractures. Methods： Twenty patients who s...Objective： To evaluate the short-term outcomes of short segmental pedicle screw fixation combined with percutaneous vertebroplasty in treatment of nonadjacent thoracolumbar fractures. Methods： Twenty patients who suffered from nonadjacent thoracolumbar fractures were treated by short segmental pedicle screw fixation for burst fracture and by percutaneous vertebroplasty for compression fracture. X-rays, CT and MRI scans were conducted using the same protocol before and after surgery and during follow-up. Pre- and postoperative American Spinal Injury Association （ASIA） grades, fusion of fracture sites, visual analog scale （VAS） of back pain, and Oswestry disability index （ODD were accessed. Results： All patients were followed up for an average period of 12 months. The sagittal profile of the thoracolumbar spine was restored satisfactorily. No patient had neurologic deterioration after surgery, and 9 patients with incom- plete lesions improved postoperatively by at least one ASIA grade. The fusion rate was 100%. The average VAS of back pain was 7.6 preoperatively and 3.2 postoperatively. The average ODI was 72.5 preoperatively and 35.5 postoperatively. Conclusions： Short segmental pedicle screw fixation combined with percutaneous vertebroplasty in treatment of nonadjacent thoracolumbar fractures exhibits such advantages as preserving functional segment units, reliable fixation, good neurologic recovery and early mobilization and, therefore, is suitable for treating nonadjacent thoracolumbar fractures.展开更多
文摘Objective:To explore the efficacy and mechanism of warm needling moxibustion plus percutaneous kyphoplasty(PKP)for osteoporotic vertebral compression fracture(OVCF)due to kidney deficiency and blood stasis.Methods:A total of 70 OVCF patients were randomized into a control group and an observation group,with 35 cases in each group.The control group was given PKP treatment,and the observation group was treated with warm needling moxibustion on the basis of the treatment in the control group.The visual analog scale(VAS)and Oswestry disability index(ODI)were scored and the Cobb angle of fractured vertebrae was measured before and after treatment.The re-fracture rate of the adjacent vertebrae was recorded at 1-year follow-up.The serum levels of transforming growth factor(TGF)-β1 and omentin-1 were measured before and after treatment.Results:After treatment,the VAS and ODI scores in both groups decreased(all P<0.05),and all the scores in the observation group were lower than those in the control group(both P<0.05).After treatment,the Cobb angle of fractured vertebrae in both groups decreased(both P<0.05),and the Cobb angle in the observation group was smaller than that in the control group(P<0.05).At 1-year follow-up,the re-fracture rate of the adjacent vertebrae in the observation group was lower than that in the control group(P<0.05).After treatment,the serum levels of TGF-β1 and omentin-1 in both groups increased significantly(all P<0.05),and the serum levels of TGF-β1 and omentin-1 in the observation group were higher than those in the control group(both P<0.05).Conclusion:The treatment of warm needling moxibustion plus PKP can relieve pain,improve dysfunction,promote healing of the injured vertebrae,and reduce the re-fracture rate of the adjacent vertebrae in patients with OVCF due to kidney deficiency and blood stasis,which may be related to the increase of serum TGF-β1 and omentin-1 levels.
基金This work was supported by grants from the National Natural Science Foundation of China （No.30300357, 39830100） and National High Technology Development Foundation of China （863） （No.2003AA205021, 2006AA02Z4E3, 2006AA02A122）.
文摘Objective： To evaluate the short-term outcomes of short segmental pedicle screw fixation combined with percutaneous vertebroplasty in treatment of nonadjacent thoracolumbar fractures. Methods： Twenty patients who suffered from nonadjacent thoracolumbar fractures were treated by short segmental pedicle screw fixation for burst fracture and by percutaneous vertebroplasty for compression fracture. X-rays, CT and MRI scans were conducted using the same protocol before and after surgery and during follow-up. Pre- and postoperative American Spinal Injury Association （ASIA） grades, fusion of fracture sites, visual analog scale （VAS） of back pain, and Oswestry disability index （ODD were accessed. Results： All patients were followed up for an average period of 12 months. The sagittal profile of the thoracolumbar spine was restored satisfactorily. No patient had neurologic deterioration after surgery, and 9 patients with incom- plete lesions improved postoperatively by at least one ASIA grade. The fusion rate was 100%. The average VAS of back pain was 7.6 preoperatively and 3.2 postoperatively. The average ODI was 72.5 preoperatively and 35.5 postoperatively. Conclusions： Short segmental pedicle screw fixation combined with percutaneous vertebroplasty in treatment of nonadjacent thoracolumbar fractures exhibits such advantages as preserving functional segment units, reliable fixation, good neurologic recovery and early mobilization and, therefore, is suitable for treating nonadjacent thoracolumbar fractures.
