单侧椎体后凸成形术控制性球囊扩张治疗骨质疏松性椎体骨折-外科学(骨科学)专业论文.docx

Unilater Unilateral Controlled Balloon Percutaneous Kyphoplasty for Osteoporotic Vertebral Compression Fractures Abstract PAGE PAGE IV Unilateral Controlled Balloon Percutaneous Kyphoplasty for Osteoporotic Vertebral Compression Fractures Abstract Aims: To explore the method and clinical efficacy of unilateral controlled balloon percutaneous kyphoplasty (PKP) for osteoporotic vertebral compression fractures (OVCFs) in elderly patients. Methods: Two hospitals took part in this study: the First Affiliated Hospital of Soochow University and the Peoples Liberation Army Five Three Two Hospital. The clinical data of 37 patients with osteoporotic vertebral compression fractures (41 vertebral bodies, including 8 fresh fractures and 33 old fractures) from February 2009 to July 2012 were analyzed retrospectively. All patients were treated by unilateral controlled balloon..There were 6 male and 31 female in this study. The mean age of the patients was 75.8±8.45 years (range from 59 to 83 years). All affected vertebral bodies were thoracolumbar vertebrae. In 2 cases the fracture involved 2 vertebral bodies. And in one case the fracture involved 3 centrums. All patients were treated by the controlled balloon percutaneous kyphoplasty. The surgical instruments (bone cement injector and polymethylmethacrylate bone cement) were provided by Changzhou Bailong Company. Patients were evaluated with Genants semiquantitative assessment before surgery. The controlled balloon percutaneous kyphoplasty was guided by the C-arm X-ray machine during operation. The pressure of balloon and the perfusion of bone cement were adjusted while operating in order to compass the object of low-pressure bone cement perfusion. Image data were observed during and after surgery to avoid the leakage of bone cement. Scores of the Oswestry Disability Index (ODI) and the Visual Analogue Scale (VAS) were collected before surgery and during follow up. The matched t-test was used to evaluate the efficacy of the co