【摘要】 目的：评价经皮椎体成形术和保守疗法治疗老年骨质疏松性胸腰椎压缩性骨折的临床效果。方法：纳入102例老年骨质疏松性胸腰椎压缩性骨折患者，随机分为手术组和保守组，对手术组实施经皮椎体成形术治疗，对保守组实施保守治疗。结果：两组患者治疗前VAS评分、Cobb’s角、椎体前缘高度比较差异均无统计学意义(P>0.05)，手术组术后3、6个月VAS评分均低于保守组，Cobb’s角均小于保守组，伤椎前缘高度均高于保守组，差异均有统计学意义(P<0.05)。结论：与保守疗法比较，经皮椎体成形术治疗老年骨质疏松性胸腰椎压缩性骨折，能够更加迅速地缓解患者机体痛苦，获得更可靠的整体疗效。

    【关键词】 骨质疏松性胸腰椎压缩性骨折; 经皮椎体成形术; Cobb’s角; VAS评分

    doi：10.14033/j.cnki.cfmr.2019.16.055 文献标识码 B 文章编号 1674-6805(2019)16-0-03

    【Abstract】 Objective：To evaluate the clinical efficacy of percutaneous vertebroplasty and conservative treatment in the treatment of senile osteoporotic thoracolumbar vertebral compression fractures.Method：A total of 102 elderly patients with osteoporotic thoracolumbar vertebral compression fractures were randomly divided into surgery group and conservative group.Percutaneous vertebroplasty was performed in the operation group ......