术前复位结合椎体成形术治疗骨质疏松性椎体严重压缩骨折.pdfVIP

浙江临床医学2016年8月第18卷第8期 ·1487· 术前复位结合椎体成形术治疗骨质疏松性椎体严重压缩骨折 陈欣 【摘要】 目的 探讨术前复位结合椎体成形术治疗骨质疏松性椎体严重压缩骨折临床效果。方法 回顾性分析2011年5月至2014年12月22 例应用椎体成形术治疗骨质疏松性椎体严重压缩骨折的临床资料，比较术前和末次随访患者的影像学资料变化和临床治疗效果。方法 22例 骨质疏松性椎体严重压缩骨折患者均顺利完成手术，术后随访时间1~3个月，平均2.6个月，4例患者出现骨水泥渗漏，骨水泥渗透率28.6% ， P 术前和末次随访时球囊扩张前椎体前缘高度、椎体中间高度、Cobb 角和病椎的楔形角均较前有改善（ 0.05 ），Oswesny功能障碍指数 P （ODI ）和视觉模拟疼痛评分（VAS ）均较前明显改善（0.05 ）。结论 在掌握严格适应证和禁忌证的情况下，术前复位结合椎体成形术治 疗骨质疏松性椎体严重压缩骨折是可行的，能够取得良好的临床治疗效果。 【关键词】 经皮椎体成形术 椎体压缩性骨折 骨质疏松 骨折 【Abstract 】 Objective To evaluate the effect of Percutaneous Kyphoplasty in hyperetension position for treatment of severe osteoporotic vertebral compressive fracture. Methods 22patients from our hospital with severe osteoporotic vertebral compressive fracture.fracture dating from2011.05 to 20 14.12were treated by percutaneous kyphoplasty，The outcomes were assessed by radiographic parameters and clinical efficacy.Results All the patients were treated with percutaneous kyphoplasty in hyperetension position successfully ，followed up from 1months to 3 months ，an average age of 2.6 months ，bone cement leakage occurred in 4 cases （28.6% ），The mean height of anterior and media and posterior vertebral bodies increased ve y P postoperati l ，Cobb angles and kyphotic angle were corrected （ 0.05 ），The visual analoy scale （VAS ）score and Oswestry disablility index was P improved （ 0.05 ）Conclusion Percutaneous kyphoplasty is a safe and reliable method to treatment of severe osteoporotic vertebral compressive ， fracture but indication and contraindication should be mastered. 【Key words 】 Percutaneous Kyphoplasty Vertebral compressive fracture Osteoporosis Fracture 随着中国步入老龄化社会，老年骨质疏松性椎体 神经根或马尾神经受损