Compression fractures in elderly patients with percutaneous vertebroplasty treatment evaluation.docVIP

 PAGE \* MERGEFORMAT 5 Compression fractures in elderly patients with percutaneous vertebroplasty treatment evaluation Author: Yao Zhihong Li Qing-Zhong Wang Yang [Keywords:] old compression fracture Percutaneous Vertebroplasty (percutaneous vertebro plasty, PVP) is a minimally invasive technology to biological materials such as bone cement into the vertebral body through the skin to fill the vertebral body compression fractures, improve appearance, increase vertebral compressive strength, to prevent the vertebral body to further collapse and deformity, relieve pain and repair. Our hospital since February 2005 to October 2007, based on the treatment of osteoporotic vertebral compression fractures caused by 30 patients with 32 vertebrae, most patients achieve good analgesic effect, but there are 3 patients in the postoperative Early pain relief and later intensified, in all cases there was no infection and serious complications of intraspinal leakage. A clinical data 1.1 General Information The group of 30 cases, 32 vertebrae, 14 cases were male and female 16 cases; aged 56 to 82 years (mean 68.5 years); thoracic 12, lumbar 20, both fresh fractures. After injury in all cases prior to the patients a sense of severe lower back pain, can not feel ill at ease, and even difficult to stand up in bed, pain in the back of the center line near the fracture segments, some cases have come from a bilateral lumbosacral pain. 1.2 Treatment Prone position after admission conditional first training, be able to prone position 30min [1], preoperative intramuscular meperidine 50 ~ 100mg, if necessary, supplemented by sedative drugs. Patients prone to the operating table, booster on the chest and bilateral iliac, preoperative use a gentle approach and position reset. With C-arm-X ray inspection line of the screen, after suffering from vertebral positioning, conventional skin disinfectant shop towel with 1% lidocaine on the spine adjacent to the pedicle through the skin punc