胸腰段行椎体成形术后椎体再骨折分析_医学论文.docVIP

胸腰段行椎体成形术后椎体再骨折分析_医学论文 胸腰段行椎体成形术后椎体再骨折分析_医学论文 【摘 要】 目的 探讨胸腰段骨质疏松性椎体压缩骨折（OVCFs）病人行椎体成形术（PVP）后相邻椎体再骨折的相关因素。方法 通过对90 例胸腰段（T11、T12、L1、L2）行单节段椎体成形术病人的进行回顾性分析，随访时间约12～36 个月。记录出现邻近椎体压缩性骨折的情况，通过记录病人的年龄，性别、体重、骨水泥注射量、骨水泥渗漏到椎间盘、椎体中柱高度恢复率、椎体后凸角度等分析再骨折的情况进行统计分析。结果 90 例病人中有22 个病人出现相邻椎体再骨折，发生率为24.44%；A组骨水泥渗漏率为33.33%,B组骨水泥渗漏率为13.43%， P值0.001，即骨水泥渗漏是椎体再骨折的危险因素；A组椎体前缘高度恢复率14.4482.166，B组椎体前缘高度恢复率：9.1490.909，两者的t检验P值为0.01，有显著的统计学意义。结论 OVCFs 患者PVP 术后相邻椎体骨折可能与椎体高度恢复、骨水泥渗漏到椎间盘等因素有关。 【关键词】 经皮椎体成形术；椎体压缩性骨折；骨质疏松；再骨折 [Abstract] Objective To investigate the correlative factors of adjacent vertebral fractures after percutaneous vertebroplasty（PVP） for osteoporotic vertebral compression fractures（OVCFs）at the Thoracolumbar Junction. Methods 90 patients of single Percutaneous Vertebroplasty at the Thoracolumbar Junction (T11, T12, L1, L2) were analyzed retrospectively and the follow-up period was about 12~36 months. Record all the adjacent vertebral compression fractures. We evaluated patient age，weight，sex, amount of injected cement, intradiskal cement leak, initial wedge angle of the compression fracture and percentage of height restoration of the vertebral body. Inthis report, we surveyed the possible risk factors for new symptomatic vertebral compression fractures.Results 22 of the 90 patients had new adjacent vertebral compression fractures after PVP, with the total rate of 24.44%. The cement leakage rate of group A is 33.33%,and group B is13.43%, P value is 0.039（Pgt0.05）,which show cement leakage is a risk factor for new adjacent vertebral compression fractures The restoration rate of anterior vertebral height in group A is 14.448±2.166, and group B is 9.149±0.909,the P value of t-test is 0.01（Pgt0.05）,these data were considered statistically significant.Conclusion Adjacent vertebral fractures after PVP for OVCFs may be associated with percentage of height restoration of the vertebral body and intradisc cement leakage. [Keywords] percutaneous vertebroplasty vertebral compression fractu