Aim: This study is aims to compare the clinical efficacy and safety of percutaneous kyphoplasty (PKP) and percutaneous pedicle screw fixation (PPSF) in managing osteoporotic vertebral compression fractures (OVCFs) among middle-aged and elderly individuals.
Methods: A total of 142 patients aged 55-65 years were selected retrospectively from the Department of Orthopedics of our hospital from June 2021 to June 2023 and classified into PKP (n = 68) and PPSF (n = 74) groups. General data of patients were collected, and related perioperative indicators, Visual Analog Scale (VAS) scores, Oswestry Disability Index (ODI), Activities of Daily Living (ADL) scores, changes in Cobb angle of the fractured vertebrae, vertebral compression rate, as well as postoperative complications were compared between the two groups.
Results: The PKP group showed shorter operation duration, reduced intraoperative blood loss, shorter hospital stay, and earlier compared to the PPSF group (p < 0.001). In comparison with the PPSF group, the PKP group endured much reduced pain, with improvements in spinal function and quality of life. On postoperative day 1, the PPSF group demonstrated superior restoration of vertebral height and deformity correction in relative to the other group (p < 0.05), with no significant difference in preoperative Cobb angle and vertebral compression rate (p > 0.05). The incidence of complications showed no significant differences between the two groups (p > 0.05).
Conclusions: The advantages of PKP lie in its ability to effectively relieve pain, improve spinal function, and enhance the quality of life. PPSF, meanwhile, is well-suited for the recovery of vertebral height and the correction of deformity in the early stage.
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