To explore the effect of individual rehabilitation on thoracolumbar osteoporotic fracture with soft tissue injury in thoracolumbar spine.

The clinical data of 52 patients with thoracolumbar osteoporotic fractures with low back soft tissue injury treated by percutaneous kyphoplasty were selected in Ningbo No.6 Hospital from October 2019 to August 2020. The control group (27 cases) received routine rehabilitation treatment, while the observation group (27 cases) added individualized rehabilitation treatment on the basis of routine rehabilitation treatment. Require patients to report their pain relief status (improvement, no change, or worse) 12 to 24 hours after surgery, and calculate the pain relief rate. The visual analogue score (VAS) of lumbar pain and Oswestry dysfunction index (ODI) were used to evaluate the improvement of lumbar pain and functional scores in patients at 1 day, 1 month, and 3 months after operation. At 3 months after surgery, magnetic resonance imaging was performed to assess the improvement of soft tissue injury. Repeated measurement analysis of variance was used for comparison of measurement data, and χ² test was used for comparison of counting data.

12 to 24 hours after surgery, the pain relief rate in the observation group was significantly higher than that of control group (χ²=13.254, P < 0.05). The comparison of VAS and ODI scores at different time points before and after operation between the two groups showed intergroup effect (F=10.541 and 8.387, P < 0.05). There were significant differences in lumbar VAS score and ODI index between the two groups 1 and 3 months after operation (P < 0.05). At 3 months after surgery, the improvement rate of observation group was significantly higher than that of control group (χ²=19.653, P < 0.05).

Individual rehabilitation treatment can promote the early postoperative functional recovery of patients with thoracolumbar osteoporotic fractures with low back soft tissue, and effectively reduce the incidence of postoperative low back pain.