骨质疏松性椎体压缩骨折椎体成形术后非手术椎体再骨折危险因素探讨
Research progress on the risk factors of non-operative vertebral refracture after vertebroplasty for osteoporotic vertebral compression fractures
  
DOI:10.3969/j.issn.1006-7108.2021.04.026
中文关键词:  骨质疏松性椎体压缩骨折  椎体成形术  再骨折  因素  综述
英文关键词:osteoporotic vertebral compression fractures  vertebroplasty  re-fracture  factors  summary
基金项目:国家自然科学基金(地区)基金项目(81860860);兰州市科技局社会发展项目(2017-RC-44);白求恩·脊柱病理性骨折椎体强化治疗专项基金项目(BK-JP2018004)
作者单位
邓强1 乔小万2* 李中锋1 彭冉东1 王雨榕2 杜凯然2 张凯东2 罗林钊2 1.甘肃省中医院甘肃 兰州730050 2.甘肃中医药大学甘肃 兰州730000 
摘要点击次数: 606
全文下载次数: 268
中文摘要:
      骨质疏松性椎体压缩骨折(osteoprosis vertebral compression fracture,OVCF)是老年性及绝经后骨质疏松症患者最常见的严重并发症,骨折患者常有骨性疼痛、椎体高度下降、脊柱后凸畸形等临床表现,严重影响患者生活质量。经皮椎体成形术(percutaneous vertebroplasty,PVP)、经皮椎体后凸成形术(percutaneous kyphoplasty,PKP)及网袋加压椎体成形术(vesselplasty)是治疗OVCF的常用术式,在恢复椎体高度、预防后凸畸形、减轻疼痛症状等方面优势突出。但OVCF患者椎体成形术后存在非手术椎体再发骨折的可能性,在影响手术质量的同时,对患者术后康复、生活质量、经济负担均有较大影响。椎体成形术后非手术椎体再发骨折与骨质疏松进程、初始骨折部位及数量等自身客观因素相关,也与术后椎体高度的过度恢复、骨水泥渗漏、骨水泥过度填充等手术因素密切相关。本文通过查阅近年来关于OVCF患者椎体成形术后非手术椎体再发骨折危险因素及原因文献报道,综述经过统计学方法验证的,具有统计学意义的危险因素,通过患者自身因素、手术因素等方面展开探讨,以期能够为临床降低OVCF患者椎体成形术后再发骨折的发生率提供相关参考。
英文摘要:
      Osteoporosis vertebral compression fracture (OVCF) is the most common serious complication of senile and postmenopausal osteoporosis patients. Fracture patients often have bone pain, vertebral body height reduction, and kyphosis Malformation and other clinical manifestations seriously affect the patient's quality of life. Percutaneous vertebroplasty (PVP), percutanous kyphoplasty (PKP) and mesh plasty (vesselplasty) are commonly used procedures for the treatment of OVCF. It has outstanding advantages in terms of body height, prevention of kyphosis, and relief of pain symptoms. However, there is the possibility of non-surgical vertebral fractures after vertebral plasty in OVCF patients, which not only affects the quality of surgery, but also has a great impact on patients' postoperative rehabilitation, quality of life, and economic burden. The recurrent fracture of the adjacent vertebrae after vertebroplasty is related to its own objective factors such as the process of osteoporosis, the initial fracture site and the number of fractures, as well as the surgical factors such as excessive recovery of postoperative vertebral body height, bone cement leakage, and excessive bone cement filling. In this paper, through reviewing recent literature reports on the risk factors and causes of non-surgical vertebral fractures after vertebral plasty in OVCF patients, we review the statistically validated risk factors that have statistical significance. Discussions are conducted in order to provide relevant references for clinically reducing the incidence of recurrent fractures after vertebroplasty in OVCF patients.
查看全文  查看/发表评论  下载PDF阅读器
关闭
function PdfOpen(url){ var win="toolbar=no,location=no,directories=no,status=yes,menubar=yes,scrollbars=yes,resizable=yes"; window.open(url,"",win); } function openWin(url,w,h){ var win="toolbar=no,location=no,directories=no,status=no,menubar=no,scrollbars=yes,resizable=no,width=" + w + ",height=" + h; controlWindow=window.open(url,"",win); } &et=FC9DA7BF2F842A3BAE24B54F70914FE6563B27C0E553AE7E9C9BCF670109CDCAEA88D4B102FC94AECE2241E30D11CF183D9326D9681AAB89926972E0E7202F11EC3A93DDF97442949B0C4D63A049D103FB8793379BA15CE7EA5BC4689088D79437FF198040F5E3293CA58EDDC72FBAA95F5E6A446543C3E0722A867D27A1E561B9A67AA9DBA7DA59454F50C4CE0F2CD3AD11D2FCB16AAA79&pcid=A9DB1C13C87CE289EA38239A9433C9DC&cid=527A01A248DACB72&jid=CA678592D11E309E8E3FB3B2BFE9BE1A&yid=9475FABC7A03F4AB&aid=BA84613CF2B53FC9E723AF91E0736396&vid=&iid=E158A972A605785F&sid=9E7C0CB25117E09B&eid=7DD65247FC4DCF390B30E47CFAA18AD6&fileno=20210426&flag=1&is_more=0"> var my_pcid="A9DB1C13C87CE289EA38239A9433C9DC"; var my_cid="527A01A248DACB72"; var my_jid="CA678592D11E309E8E3FB3B2BFE9BE1A"; var my_yid="9475FABC7A03F4AB"; var my_aid="BA84613CF2B53FC9E723AF91E0736396";