Clinical study on vertebroplasty combined with lumbar dorsal muscle functional exercise in the treatment of lumbago and back pain caused by fragility fracture of osteoporosis

Objective To explore the clinical effect of vertebroplasty combined with low back muscle functional exercise in the treatment of fragility fracture of osteoporosis. Methods 200 patients with fragility fracture of osteoporosis after vertebroplasty were randomly divided into experimental group and control group. After operation, two groups were given routine anti-osteoporosis treatment, on the basis the experimental group was given systemic lumbar dorsal muscle functional exercise. The efficacy was evaluated by telephone follow-up. Results All 200 patients were successfully followed up for 1 years. The Oswestry Disability Index in the experimental group at 3 months [(18.43±2.66)], 6 months [(15.88±2.00)], and 1 year [(19.30±2.20)] after treatment were superior to those in the control group (P<0.05), and the VAS score in the experimental group at 3 months [(1.03±0.59)], 6 months [(1.20±0.45)], and 1 year [(1.43±0.54)] after treatment were superior to those in the control group (P<0.05). The incidence of acute compression fracture recurrence of other vertebral body in the experimental group was lower than that in the control group (3% vs.12%) (P<0.05). Conclusion Systemic lumbar dorsal muscle functional exercise can significantly improve the low back pain of patients with osteoporosis after vertebroplasty, reduce the risk of recurrent fragility fracture, and improve the quality of life of patients, which is an important rehabilitation treatment method after vertebroplasty. Key words: Percutaneous vertebroplasty; Lumbar dorsal muscle functional exercise; Osteoporosis; Thoracolumbar acute compression fracture