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PKP combined hyperextension reduction treatment of osteoporotic vertebral fractures
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PKP combined hyperextension reduction treatment of osteoporotic vertebral fractures
Author: Wang Sen Wang Xiang Sha Xia Hou Kuan-Liang
【Abstract】 Objective To investigate the hyperextension reduction combined with percutaneous kyphoplasty treatment of osteoporotic vertebral compression fractures in the clinical effects and precautions. Methods 25 patients with a total of 43 patients with vertebral osteoporotic fractures in the C-arm X-ray machine perspective down hyperextension reduction combined with percutaneous pedicle screw and injection of bone cement balloon kyphoplasty. Right before surgery, 1d, and after 6 months of the vertebral body height, Cobb angle and the pain score for the clinical and radiological assessment. Results after 23 cases of thoracic back pain, two cases of pain significantly reduced resistance does not appear nervous system complications such as blood pressure and pulmonary embolism. Patients were followed up 6 to 12 months (mean 9.2 months), all patients had no recurrence of symptoms of low back pain, X-ray film showed 24 cases of vertebral body height is not lost, one cases of fracture of adjacent vertebral body and then; vertebral body height, Cobb angle compared with before surgery significantly improved. Conclusion PKP hyperextension combined with the minimally invasive reduction, safety, clinical efficacy is very good advantage is that the treatment of osteoporotic vertebral compression fractures, one ideal way. Note that strictly followed the indications, the appropriate expansion of balloon and the infusion of bone cement and other technical points may be to avoid serious complications.
Keywords: osteoporosis, vertebral compression fractures hyperextension reduction and percutaneous kyphoplasty
Osteoporotic vertebral compression fractures (osteoporotic vertebral compression fracture, OVCF) more common in the elderly, the traditional conservative treatment require long-term bed
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