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首页> 外文期刊>Scientific reports. >The analysis of MSTMOVCF (Multi-segment thoracolumbar mild osteoporotic fractures surgery or conservative treatment) based on ASTLOF (the assessment system of thoracolumbar osteoporotic fracture)
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The analysis of MSTMOVCF (Multi-segment thoracolumbar mild osteoporotic fractures surgery or conservative treatment) based on ASTLOF (the assessment system of thoracolumbar osteoporotic fracture)

机译：基于ASTLOF（胸腰椎骨质疏松性骨折评估系统）的MSTOOVF（多节段胸腰椎轻度骨质疏松性骨折手术或保守治疗）分析

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To investigate the issue that conservative or surgical treatment for multi-segmental thoracolumbar mild osteoporotic vertebral compression fracture (MSTMOVCF) by applying the assessment system of thoracolumbar osteoporotic fracture (ASTLOF). A single-center prospective cohort study was designed to enroll elderly patients with MSTMOVCF from June 2013 to June 2016, which were divided into conservative and surgery group. The primary outcomes were Visual Analogue Scale (VAS) score and Oswestry Disability Index (ODI) score, with secondary outcomes including SF-36 and imaging measures such as height of anterior and middle column, Beck value, complications. A total of 470 patients with MSTMOVCF were enrolled. 193 patients underwent surgery of percutaneous vertebroplasty (PVP) or percutaneous kyphoplasty (PKP) and 277 patients underwent conservative treatment. The VAS score of operation group was significantly lower than that of conservative group (P??0.0001, for all). The ODI score of the operation group was significantly lower than that of conservative group (P??0.0001, for all). The SF-36 score, height of anterior and middle column, Beck value in the operation group were higher than those in conservative group (P??0.0001, for all) at 1-year follow-up. MSTMOVCF underwent surgery can achieve great short-term clinical results. The patient with the sum of revised ASTLOF scores of multiple injured vertebrae?≥?5 was recommended for surgery.
机译：通过应用胸腰椎骨质疏松性骨折评估系统（ASTLOF），探讨保守或手术治疗多节段胸腰椎轻度骨质疏松性椎体压缩性骨折（MSTMOVCF）的问题。设计了一项单中心前瞻性队列研究，以纳入2013年6月至2016年6月的MSTMOVCF老年患者，分为保守组和手术组。主要结果是视觉模拟量表（VAS）评分和Oswestry残疾指数（ODI）评分，次要结果包括SF-36和影像学测量，如前中柱高度，贝克值，并发症。总共招募了470名MSTMOVCF患者。 193例接受了经皮椎体成形术（PVP）或经皮后凸成形术（PKP）的手术，而277例患者接受了保守治疗。手术组的VAS评分明显低于保守组（均为P 0.0001）。手术组的ODI评分显着低于保守组（全部P 0.0001）。一年随访时，手术组的SF-36评分，前中柱高和Beck值均高于保守组（所有P 0.0001）。 MSTMOVCF接受手术可以取得很大的短期临床效果。建议对多发性损伤椎体≥≥5的ASTLOF分数进行修正的患者进行手术。

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