中国骨质疏松杂志

经皮椎体成形术治疗Klimmell’ s病后发生邻近椎体骨折的原因分析

Analysis of adjacent vertebral fractures after percutaneous vertebroplasty for the treatment of Kii mmell’ s disease

DOI：

中文关键词: 经皮穿刺椎体成形术骨质疏松性椎体压缩骨折 Kii mmell’ s病邻近椎体骨折

英文关键词:Percutaneous vertebroplasty Osteoporotic vertebral compression fracture Kiimmell’ s disease Adjacent vertebral fracture

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作者	单位	E-mail
曹奇	CAO Qi	Department of Spinal Surgery， the Second Affiliated Hospital， University of South China，Hengyang
唐晓军	TANG Xiaojun	Department of Spinal Surgery， the Second Affiliated Hospital， University of South China，Hengyang
杨铁军	YANG Tiejun	Department of Spinal Surgery， the Second Affiliated Hospital， University of South China，Hengyang
陈亮元	南华大学附属第二医院脊柱外科	Department of Spinal Surgery， the Second Affiliated Hospital， University of South China，Hengyang
唐国军	南华大学附属第二医院脊柱外科	Department of Spinal Surgery， the Second Affiliated Hospital， University of South China，Hengyang
陈小明	南华大学附属第二医院脊柱外科	Department of Spinal Surgery， the Second Affiliated Hospital， University of South China，Hengyang
颜学亮	南华大学附属第二医院脊柱外科	Department of Spinal Surgery， the Second Affiliated Hospital， University of South China，Hengyang

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中文摘要:

目的分析经皮穿刺椎体成形术（PVP)治疗伴或不伴IKimmell’ s病的骨质疏松性椎体压缩骨折(OVCF)患者的临床资料，探讨PVP治疗Klimmell’ s病术后发生邻近椎体骨折的原因。方法回顾性分析66例T11 ~ L2节段单个椎体OVCF行单侧PVP治疗的患者，其中幻例合并IKimmell’ s病作为A组，34例不合并Klimmell’ s病作为B组。比较两组患者的临床资料，分析PVP术后邻近椎体骨折的发生率及影响因素。结果两组患者在性别、年龄、术前骨密度、术中骨水泥注人量、术后椎体骨折总体发生率方面比较，差异均无统计学意义（P>0. 05 )；两组间椎间盘内骨水泥渗漏率、术后邻近椎体骨折发生率的比较差异均有统计学意义（P<0.05 )。结论 Kiimmell’ s病并不增加PVP术后椎体骨折的总体风险，但Kiimmell’ s病时骨水泥向椎间盘内渗漏风险增高，是导致术后邻近椎体发生骨折的相关因素

英文摘要:

Objective To analyze the clinical data of percutaneous vertebroplasty ( PVP) for osteoporotic vertebral compression fractures ( OVCF) with or without Kiimmell ’ s disease， and to investigate the reasons of subsequent occurrence of new adjacent vertebral fractures after the treatment of PVP for Kiimmell ’ s disease. Methods A retrospective study was conducted. Sixty-six patients diagnosed with OVCF were treated with unilateral vertebroplasty for single vertebral fracture from T11 to L2. Thirty-two patients with Kiimmell ’ s disease and 34 patients without Kiimmell ’ s disease were divided into group A and B respectively. The incidence and the relative factors of subsequent adjacent vertebral fracture after PVPwere analyzed by comparing the data between the two groups. Results There were no statistically significant differences of gender， age， preoperative bone mineral density， cement volume，and total incidence of postoperative fractures between the two groups ( P > 0. 05 ) . But the cement leakage rate into intervertebral disc and the adjacent fracture rate after PVP were significantly diferent between the two groups ( P < 0. 05 ). Conclusion Kiimmell ’ s disease does not increase the overall risk of subsequent vertebral fracture after PVP， but the risk of cement disk leakage was increased， which was a relative factor of subsequent adjacent vertebral fractures after PVP

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