Long-term therapeutic effect of percutaneous kyphoplasty combined with & without back muscle rehabilitation exercise in elderly patients. A comparative study

OBJECTIVES: To know the long-term therapeutic effects and the pain improvement after percutaneous kyphoplasty (PKP) combined with and without back muscle rehabilitation exercises in elderly patients with osteoporotic lumbar compression fractures. METHODS: We performed a retrospective analysis using records of elderly patients with osteoporotic lumbar compression fracture treated in our hospital from June 2019 to June 2020. We extracted relevant hospitalization treatment and record of follow-up data after discharge from 45 patients treated with PKP (Group-I) and 56 treated with PKP combined with back muscle rehabilitation exercises (Group-II). We compared the total effective lumbar function rates (number of effective and perfectly effective treatments/total number of patients) and inprovement in pain of the two treatment schemes. RESULTS: The total efficacy in the group receiving treatment in Group-II was 96.43% higher than that of the patients receiving treatment in Group-I (84.44%; P<0.05). The pain VAS scores at one, six and 12 months in patients receiving treatment in Group-II were lower than those patients receiving treatment in Group-I (P<0.05). A year after the operation, the Oswestry disability index (ODI) scores in patients receiving treatment in Group-II were lower than those patients receiving treatment in Group-I (P<0.05). Whereas Japan Orthopaedic Association (JOA) scores were higher in the patient’s receiving treatment in Group-II as compared to Group-I (P<0.05). CONCLUSION: After elderly patients were treated with PKP combined with back muscle rehabilitation exercise of lumbar and dorsal muscle function, the curative effect was significantly improved, the pain was reduced and the lumbar function was significantly improved.