HAO Ming, LIU Xiaohui, YAO Xiaowei, et al. Effects of Osteoking on Bone Metabolism and Bone Mineral Density After Surgery of Osteoporotic Vertebral Compression Fractures[J]. 2022,22(6):664-667.
HAO Ming, LIU Xiaohui, YAO Xiaowei, et al. Effects of Osteoking on Bone Metabolism and Bone Mineral Density After Surgery of Osteoporotic Vertebral Compression Fractures[J]. 2022,22(6):664-667. DOI: 10.14009/j.issn.1672-2124.2022.06.007.
OBJECTIVE: To probe into the application value of osteoking after percutaneous vertebroplasty/percutaneous kyphoplasty(PKP) for osteoporotic vertebral compression fracture(OVCF)
and its effects on bone metabolism and bone mineral density of patients. METHODS: A total of 66 patients with OVCF undergoing PKP surgery in our hospital from Jun. 2019 to Jun. 2020 were extracted to be divided into the control group and the observation group via the random number table
with 33 cases in each group. The control group was treated with standard anti-osteoporosis scheme after surgery
while the observation group received osteoking on the basis of the control group
both groups were treated for 12 weeks. The efficacy
time of fracture healing were compared between two groups. Changes of bone metabolism and bone mineral density were observed before and after treatment
and the new fractures were followed up. RESULTS: The total effective rate of the observation group was 100.00%
higher than that of the control group(87.88%
29/33)
and the time of fracture healing of the observation group was shorter than that of the control group
with statistically significant differences(P
<
0.05). After treatment
the levels of serum alkaline phosphatase(ALP) and osteocalcin(BGP) in both groups increased compared with before treatment
while the urinary tartrate-resistant acid phosphatase(U-TRAP)
urinary calcium/creatinine(U-Ca
2+
/Cr) and urinary hydroxyproline/creatinine(U-HYP/Cr) decreased compared with before treatment; after treatment
the levels of ALP and BGP in the observation group were higher than those in the control group
while U-Trap
U-Ca
2+
/Cr and U-HYP/Cr in the observation group were lower than those in the control group
the differences were statistically significant(P
<
0.05). After treatment
the bone mineral density of lumbar spine L
2—4
and femoral neck of two groups increased compared with before treatment
and the bone mineral density of lumbar spine L
2—4
and femoral neck of the observation group was higher than that of the control group
the differences were statistically significant(P
<
0.05). The rate of new fracture in the observation group was 3.03%(1/33)
significantly lower than 18.18%(6/33) in the control group
with statistically significant differences(P
<
0.05). CONCLUSIONS: Osteoking can significantly promote the bone formation
inhibit the bone resorption and enhance the bone mineral density in patients with OVCF
which is of positive significance to promote early fracture healing and prevent recurrent vertebral fractures.
关键词
骨质疏松性椎体压缩性骨折恒古骨伤愈合剂骨代谢骨密度
Keywords
Osteoporotic vertebral compression fractureOsteokingBone metabolismBone mineral density