PKP在老年人胸腰椎压缩性骨折的临床应用.pdfVIP

颈腰痛杂志2013年第 34卷第 6期 TheJournalofCervicodyniaandLumbodvnia2013．V01．34No．6 ·471· ● 临床 研 究 ● PKP在老年人胸腰椎压缩性骨折的临床应用 王建雄，付仰攀，唐聪，范华强，张少战，卢海燕，董辉详，黄长明 (厦门大学附属成功医院骨科，解放军第 174医院骨科，福建 厦门 361003) 摘要 ：目的 总结用椎体后凸成形术 (PercutaneousKyPhoPlasty，PKP)治疗老年人胸腰椎压缩性 骨折的临床结果及并发症。方法 术中采用单侧经椎弓根人路穿刺，每个椎体注射骨水泥25ml， 平均4．1ml。 观察临床结果及术后并发症进行回顾性分析。结果 46例术前疼痛症状完全缓解，4 例部分缓解；未见伤椎再骨折、骨与骨水泥界面松动及相邻椎体骨折发生。术后 4d及末次随访时伤 椎前中柱椎体高度、后凸Cobb角及疼痛评分均较术前显著改善(PO．05)，术后4d与末次随访时比 较差异无统计学意义 (P0．05o结论 椎体后凸成形术在老年人胸腰椎压缩性骨折的临床效果良 好 ，但需注意其并发症的预防及处理。 关键词：椎体后凸成形术；老年人；胸腰椎骨质疏松 I生压缩性骨折 ；并发症 中图分类号：R589 文献标识码：B 文章编号：1005—7234(2013)06—0471—03 DOI：10．3969~．issn．1005—7234．2013．06．003 Theclinicalapplication ofpercutaneouskyphoplastyforosteoporoticthoracolumbarcompres- sion fracturesin the aged WANG Jian—xiong，FU Yang—pan，TANG Cong，eta1． (DepartmentofOrthopedics，TheAffiliatedChenggongHospitalofXiamenUniversity，Xiamen 。Fu— jian361003，China) Abastract：0bjective Tosummarizetheclinicalresultsandcomplicationsof(PKP)forosteo— poroticthoracolumbarcompression fracturesin the aged．M ethods Through unipedicularapproach， eachinjuredvertebrawasinjectedwith2-5ml(mean，4．1m1)bonecement．Clinicalresultsand complications were analyzed retrospectively． Results Postoperatively，complete pain relief was achieved in 46 eases and partialpain reliefin 4 cases；no re-fracture，loosening attheinterface or adjacentvertebrafractureoccurred．At4daysafteroperationandlastfollow-up，theanteriorand middlecolumnheight，Cobbangleandvisualanaloguescale(VAS)scorewereimprovedsignificant— lycomparedwiththosebeforeoperation (PO．05)；andtherewasnosignificantdifferencebetween 4daysandlastfollow—up(PO．05)．Conclusion PKPisaneffectivetreatmentforosteoporotictho— racolumbar compression fractures in the aged，however，the prevention and treatmentofthe compli- cationsofPKP should bepay attention to． Key words：PKP；theaged；osteoporoticthoracolumb