过仰复位加经皮椎体后凸成形术治疗椎体后壁破裂的椎体压缩性骨折27例分析.docVIP

过仰复位加经皮椎体后凸成形术治疗椎体后壁破裂的椎体压缩性骨折27例分析 　　[摘要] 目的 探讨椎体后壁破裂的椎体压缩性骨折采用过仰复位加经皮椎体后凸成形术治疗的临床疗效。方法 选择2010年3月～2014年5月应用过仰复位加经皮椎体后凸成形术治疗伴椎体后壁破裂的椎体压缩骨折患者27例。对术前及术后6个月椎体前缘高度压缩率、VAS评分进行比较，采用SPSS 13.0统计的软件分析，术前与术后组间比较采用t检验进行统计学分析。 结果 椎体前缘压缩率术前为（47.96±7.02）%，术后6个月为（18.72±3.26）%，较术前明显改善（t=4.568，P0.05）。术后6个月时VAS评分为（1.91±0.62）分较术前VAS评分[（8.15±1.91）分]有明显改善（t=18.568，P0.05）。本组中有2例共3个伤椎出现无症状性骨水泥渗漏，均未出现神经损伤症状。 结论 过仰复位加经皮椎体后凸成形术治疗椎体后壁破裂的椎体压缩性骨折可即刻稳定骨折、迅速止痛、早期恢复功能活动，且鲜见骨水泥渗漏，手术安全、可靠。 　　[关键词] 过仰复位；椎体压缩骨折；后壁破裂；经皮椎体成形术 　　[中图分类号] R683.2 [文献标识码] B [文章编号] 1673-9701（2016）25-0061-03 　　Clinical analysis of 27 patients：Combination of hyperextensive reduction and percutaneous kyphoplasty in the treatment of vertebral compression fracture 　　WANG Gang CHEN Yong QIN Yurong YI Dongsheng 　　Department of Orthopedics， the Second Peoples Hospital of Dalian， Dalian 116011，China 　　[Abstract] Objective To investigate the treatment of osteoporotic vertebral fractures with posterior vertebral wall ruptured by percutaneous kyphoplasty（PKP） combined with hyperextension reduction. Methods From March 2010 to May 2014，27 cases of osteoporotic vertebral compression fractures with posterior vertebral wall ruptured were treated by PKP combined with hyperextension reduction skill in our hospital were selected. Scores of pain evaluation（VAS） and compression rate of anterior vertebral body height were assessed before operation and 6 months after operation. Data of the two groups before and after operation were compared using paired-samples t test used SPSS 13.0 software. Results The compression rate of anterior vertebral body height improved from（47.96±7.02）% before operation to 6 months after operation（18.72±3.26）%，there was significant difference before and after operation（t=4.568，P0.05）. The VAS scores improved from（6.89±1.83） before operation to（1.91±0.62）after operation 6 months，there was significant difference before and after operation（t=18.568，P0.05）. Bone cement leakage occurred in 2 patients （3 vertebra） wi