椎体成形术与椎体后凸成形术治疗骨质疏松性椎体压缩骨折术后伤椎再塌陷的对比研究.pdfVIP

登壁窆E型盘查：垫!i笙Q!旦：筮!!鲞!塑』墨匹!型墨!堕：垒!趔塾!Q!!：!型!!：盟!! ·207· ·临床研究· 椎体成形术与椎体后凸成形术治疗骨质疏松性椎体压 缩骨折术后伤椎再塌陷的对比研究 邢润麟，张顺聪，梁德，杨志东，江晓兵，冯蓬勃 【摘要】 目的 观察椎体成形术(percutaneous kyphoplasty， vertebral PKP)治疗骨质疏松性椎体压缩骨折(osteoporosis fracture，OVCF)术后发生伤椎再塌陷情况的差 compression 异。方法 例。依据术式分组并测量术前、术后3d内及末次随访的伤椎高度，对比伤椎再塌陷发生率及再塌陷所造成的矫正高 度丢失比的组间差异，并结合既往研究及影像观察分析差异原因。结果术后伤椎再塌陷发生率PVP组为2．94％， 风险不同，PKP较PVP更严重，此现象需引起重视，值得进一步研究。 【关键词】老年人；胸椎；腰椎；骨质疏松；脊柱骨折；骨折，压缩性；椎体后凸成形术；椎体成形术 683．2【文献标识码】A【文章编号】1672-2957(2015)04-0207-04 【中图分类号】R 【DOI】doi：10．3969／j．issn．1672-2957．2015．04．004 ofpercutaneous 黜珈恤lps嚣ofpreviousaugmentedosteoporoficcompressedvertabrae：comparativeanalysis and XING De，YANG percutaneouskyphoplastyRun-lin，ZHANGShun—cong，HANGZhi—dong，JIANG vertebroplasty ofSpinalSurgery，FirstAffi]iatedHospitalofGuangzhouUniversityofChinese Xiao·bing，FENGPeng—bo．Department Medicine，Guangzhou510405，Guangdong，China of between To thedifference Objectivecompare reeollapse percutaneous 【Abstract】 vertebral From 2007tO fractures(OVCF)．MethodsJanuary kyphoplasty(PKP)forosteoporoficcompression percutaneous orPKPfor withdetailed were caseswhounderwentPVP OVCF 2012，581 retrospectively radiologicalfollow-up January measuDu、dat3differenttime in3 final re