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| 椎体后凸成形术治疗骨质疏松椎体压缩性骨折疗效分析 |
| Clinical analysis of percataneous kyphoplasty for osteoporofic vertebral compression fragture |
| 投稿时间：2011-12-14 |
| DOI： |
| 中文关键词: 椎体压缩骨折 微创 椎体后凸成形术 骨质疏松症 |
| 英文关键词:rtebral compressive fracture Micro invasion Kyphoplasty Osteoporosis |
| 基金项目:教育部资助国内访问学者研修课题(2010—2011) |
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| 中文摘要: |
| 目的评价经皮椎体后凸成形术(Pereutanecus Kyphoplasty。PKP)治疗骨质疏松椎体压缩性骨
折(Osteoporotie Vertebral Compression Fracture，OCVF)的临床疗效。方法2010年8月～2011年4
月应用经皮椎体后凸成形技术(PKP)治疗骨质疏松椎体压缩性骨折38例，42个椎体；年龄50岁一87
岁，平均73．4岁；伤椎部位髑．L3，其中36个椎体为TIO—L2。致伤原因均为低能量型损伤，腰背部
持续疼痛，无脊髓、神经损伤表现，影像学表现为伤椎椎体后壁完整，非爆裂性骨折。手术前后以及随
访期间对患者视觉疼痛评分(Visual Analog Scale，VAS)，Oswestry功能障碍指数(Oswestry Dysfunction
Index，ODI)以及伤椎高度．后凸角变化等影像学参数进行对比分析，评价疗效。结果术后随访6月
一14月，平均9．6月；手术前后VAS分别为7．86±0．86和2．82±0．98；ODl分别为79．04±7。67和
28．35±5．80(P<0．01)；伤椎前缘高度分别为68．72±5．48％和84．04±5．05％；伤椎中部高度分别
为72．92 4-4．82％和87．96 4-4．38％；局部后凸角度分别为23．52 4-3．87。和11．36 4-2．37”(P<0．05)，
手术前后各项指标对比差异具有统计学意义，术后不同时间与末次随访时各项指标对比差异无统计
学意义。绪论单侧穿刺球囊扩张椎体后凸成形术(PKP)治疗新鲜骨质疏松椎体压缩性骨折疗效满
意．可以迅速有效缓解疼痛，改善功能，有效恢复伤椎高度，改善后凸畸形。 |
| 英文摘要: |
| 0bjective To evaluate the therapeutic effect of percutaneous kyphoplasty in treating osteopurotie
vertebral compression fracture．Methods From August 2010 to April 201 1，38 consecutive patients(42
vertebral bodies)with osteoporotic vertebral compression fracture were treated with pcreutaneous vertebral
bphoplasty．There were 26 females and 12 males with average age of 73。4 years old(50-87 years)．All
patients with serious back pain suffered from low energy injury．There was ao clinical manifestation of nerge
injury and rio burst fracture or spinal canal involved situation on image．The levels of fracture ranged from I"8
to 1．3．mostly at thoracolumbar levels from T10 to 1．2．The Visual Aaalog Scale(VAS)，Oswestry
Dysfunction Index(ODi)，and radiographic results were evaluated at different time point of before and after
the operation．Results All patients were treated with balloon kyphoplasty via uni-pedicular approach and
were followed up for 6-14 months(9．6 months in average)successfully．The average operation time was 35
minutes and average volume of PMMA cement was 4．2 m1．After kyphoplasty。VAS improved from 7．86±
0．86 to 2．82±0．98(P<0．01)and ODI improved from 79．04±7．67 to 28．35±5．80(P<0．01)．Thehei．ght of anterior and middle edge of the vertebrae increased from 68．72 4-5．48％and 72．92 4-4．82％to
84．04±5．05％and 87．96±4．38％．respectively．The mean kyphosis was improved from 23．52 4-3．87 to
1 1．36 4-2．37 degree(P<0．05)．There was significant difference between pro-and post-operation，and
there was no difference between different time point of post-operation and late follow-up time．Conclusion
Balloon kyphoplasty via uni—pedieular approach is a reliable and effective method for osteoporotie vertebral
compression fracture．It can not only relieve pain and improve function rapidly，but also restore the vertebral
anterior column height and correct kyphosis deformity． |
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