| Objective To explore the long-term clinical efficacy of percutaneous posterior convexoplasty (PKP) combined with anti-osteoporosis drugs in the treatment of vertebral compressibility fractures in elderly patients with osteoporosis. Methods A total of 128 patients with osteoporotic vertebral compression fractures were divided into group A (less than 1 year), group B (1-3 years), and group C (more than 3 years), according to the time length of medication adherence. VSA score, ODI index, Cobb angle change, loss of vertebral body height, bone mineral density, and fracture recurrence were compare among the 3 groups before and after treatment for 6 months, 12 months, 24 months, and 36 months. Results There was no significant difference in the indexes before the treatment. The indexes improved in 3 groups after the treatment. The improvement degree of group C was better than that of the two other groups, and the improvement of group B was better than that of group A. Conclusion PKP is effective in the treatment of osteoporotic vertebral compression fractures. Long-term combination with anti osteoporosis drug treatment can significantly relieve the whole-body bone pain, improve bone mineral density, and reduce the refractures. |