编织囊袋扩张—椎体后凸成形术治疗骨质疏松性椎体骨折的初步临床效果-preliminary clinical effect of braided bag expansion - kyphoplasty in the treatment of osteoporotic vertebral fracture.docxVIP

Preliminary Clinical Results of C- pod Kyphoplasty for patients with osteoporotic vertebral compression fracturesAbstractObjective：To assess the clinical and radiographical outcomes in treating patients with osteoporotic vertebral compression fractures （OVCF）by C- pod Kyphoplasty.Method：15 patients (12 women and 3 men) suffered from OVCFs were treated by C- pod Kyphoplasty from December 2007 to April 2010. Mean patient age was 72.2years(range, 56–82 years). A total of 15 painful OVCFs (1 in T9; 2 in T11; 5 in T12; 5 in L1; 2 in L2) were enrolled in our study. All OVCFs except two had an intact posterior wall, and MRI demonstrated marrow edema on fat-saturated T2-weighted sequences. Preoperative and postoperative of visual analogue scores (VAS), Oswestry Disability Index, and radiographic results were compared.Result：All patients got significant pain relief .VAS score improved from 8.9 ± 1.4points to 2.1 ± 1.3 points before and after operation, and was 2.2 ± 1.5 points at final follow- up. There was a significant improvement between the preoperative and postoperative values(P0.05), but no difference between the postoperative and finalfollow-up values(P0．05)．Comparison of preoperative and postoperative ODI scoresshowed significant improvement (86.1± 9.7 vs. 30.5± 7.6). The final follow-up ODI was 32.7± 8.4。The height of anterior column of the vertebrae increased from pre-operative 14.50±1.34 mm to post-operative 23.20±1.12 mm and was 22.82±0.85 mm at final follow-up. There was a significant improvement between the preoperative and postoperative values(P0.05), but no difference between the postoperative and final follow-upvalues(P0.05)．The kyphotic angle was improved from pre-operative 28.50±1.85° topost-operative 11.30±1.40° and 12.48±0.70° at final follow- up. There was a significant improvement between the preoperative and postoperative values(P0.05), but no differencebetween the postoperative and final follow-up values(P0.05)．Conclusion：C-