经皮穿刺椎体成形术对骨质疏松性胸腰段压缩骨折治疗的疗效观察.pdfVIP

Clinical observation of percutaneous vertebroplasty in the treatment of thorocolumbar osteoporotic vertebral compression fractures Speciality：Orthopedics of TCM Author ：Liu Dehu Tutor：Prof. Xu Zhanwang Abstract Objective:：Clinical observation of percutaneous vertebroplasty for thoracolumbar osteoporotic vertebral compression fractures and discussion of relevant question. Methods ：Retrospective analysis of 25 cases with 26 painful vertebral fractures from September 2009 to September 2010 ,which have complete clinical information. All diagnosis as thoracolumbar osteoporosis vertebral compression fractures. Contrast the preoperative and postoperative scores of ADL 、VAS 、cobb angle and compression ratio. Make statistical analysis of the results. Results: 25 cases have a 6 to 12 months (average 8.9 months) follow up postoperative. VAS has been reduced from preoperative 7.94 ± 1.543 to 1.22±0.579, ADL has been reduced from 4.68 ±0.476 to 1.44 ±0.507, COBB angle has been reduced from 14.19 °±9.078 to 14.12 °±9.061, compression ratio has been reduced from 42.296% ±17.8503 to 42.115% ±17.7276. No obvious changes occurred during the follow up. None of these cases occurred any spinal and nerve damage 、venous thrombosis and pulmonary embolism. Conlusion: 1、 Using PVP for the treatment of thoracolumbar osteoporosis vertebral compression fractures, by contrast of pre and postoperative scores of VAS and ADL, which has obvious differences and has statistical significance. The result tells that PVP doing well in the treatment of thoracolumbar osteoporosis vertebral compression fractures, the patients have an obvious improve of