ObjectiveTo compare the clinical effect of percutaneous vertebroplasty and pedicle screw internal fixation in the treatment of elderly vertebral body compression fracture. MethodA total of 90 cases with elderly vertebral body compression fracture were randomly divided into research group and control group, 45 cases in each group. Patients of research group were treated by percutaneous vertebroplasty,and patients of control group were treated by pedicle screw internal fixation. Pain levels were evaluated by using a visual analogue scale (VAS). The effective rate,VAS scores before and after treatment, height of anterior vertebral body, Cobb′s angle and surgical complications were compared between the two groups. ResultsThe total effective rate of the research group was 95.6% (43/45), the control group was 77.8% (35/45), and the difference was statistically significant (P＜0.05). The VAS scores of research group were lower than that of control group (P＜0.05); Height of anterior vertebral body and Cobb′s angle of research group were superior to those of control group (P＜0.05).One patient had cement leakage connected with the disc space in research group, and two patients had vertebral pain in control group. There was no significant difference between the two groups in postoperative complications (P＞0.05). ConclusionPercutaneous vertebral angioplasty in the treatment of senile vertebral compression fracture effect is exact, simple operation, can significantly improve the pain symptoms of fracture; it is worthy of clinical application.

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