目的:探讨经皮穿刺椎体成形手术治疗老年性骨质疏松椎体压缩骨折临床疗效及应用价值。方法:将三门医院治疗的老年性骨质疏松椎体压缩骨折患者130例采用随机数字法分为观察组和对照组,对照组给予保守治疗,观察组给予经皮穿刺椎体成形手术治疗,记录两组临床疗效。结果:观察组治疗后VAS评分(1.17±0.43)分,ODI评分(8.53±1.06)分;对照组治疗后VAS评分(1.96±0.94)分,ODI评分(13.16±2.88)分,组间对比差异有统计学意义。观察组治疗后JOA评分(26.51±2.87)分,Cobb角(20.03±1.02)°;对照组治疗后JOA评分(20.83±1.94)分,Cobb角(22.35±2.24)°,组间对比差异有统计学意义。观察组并发症发生率3.08%,对照组并发症发生率6.16%,组间对比差异有统计学意义。结论:经皮穿刺椎体成形手术治疗老年性骨质疏松椎体压缩骨折疗效可靠,能够重建椎体强度,减轻患者疼痛,恢复伤椎功能。 Objective: To investigate the clinical effect and clinical value of percutaneous vertebroplasty in the treatment of senile osteoporotic vertebral compression fractures. Methods: A total of 130 patients with senile osteoporotic vertebral compression fractures in Sanmen Hospital were randomly divided into observation group and control group. The control group received conservative treatment. The observation group received percutaneous vertebroplasty surgery, Record the clinical efficacy of two groups. Results: The VAS score (1.17 ± 0.43) and ODI score (8.53 ± 1.06) in the observation group after treatment; VAS score (1.96 ± 0.94) and ODI score (13.16 ± 2.88) in the control group after treatment, There is statistical significance. JOA score (26.51 ± 2.87) and Cobb angle (20.03 ± 1.02) ° in the observation group after treatment; JOA score (20.83 ± 1.94) and Cobb angle (22.35 ± 2.24) ° in the control group after treatment, with statistical differences between the groups Significance of learning. The incidence of complications in the observation group was 3.08%, and the incidence of complications in the control group was 6.16%. The differences between the two groups were statistically significant. Conclusion: Percutaneous vertebroplasty for the treatment of senile osteoporotic vertebral compression fractures is reliable and can reconstruct vertebral body strength, relieve pain and restore vertebral function.