球囊扩张椎体后凸成形术治疗老年胸腰椎爆裂骨折-昆明医科大学学报.PDF

昆明医科大学学报 2013 ，（9 ）：116 119 CN 53 - 1221 R Jo urnal of Kunming Medical University 囊扩张椎体后凸成形术治疗老年胸腰椎爆裂骨折临床疗效观察 袁晓峰，段 洪，闵 捷，周 立，周兆文 昆明市第一人民医院骨科，云南昆明 650011） ［摘要］ 目的 探讨应用经皮球囊扩张椎体后凸成形术（PKP）治疗老年胸腰椎爆裂骨折的临床可行性及安 全性．方法 从2007 年10 月至2012 年02 月，采用经皮球囊扩张椎体后凸成形术治疗老年骨质疏松性胸腰椎爆 裂骨折78 例共 134 个椎体，经椎弓根穿刺建立工作套管，放置可扩张球囊，撑开使塌陷椎体复位，使用骨水泥 ， 充填椎体 C 臂X 光机准确定位及检测．结果 78 例病患者手术成功，术后腰 疼痛缓解明显，患者生活质量明 显提高．术后影像学复查显示伤椎高度明显恢复，后凸畸形大部分矫正．结论 PKP 在治疗老年骨质疏松性胸腰 椎爆裂骨折具有可行性，但有一定的手术风险，需严格做好术前准备、严格掌握手术适应症及精细准确的术中操 作. ［关键词］椎体后凸成形术；骨质疏松；椎体爆裂骨折 ］ ］ ］ ［中图分类号 R683.2 ［文献标识码 A ［文章编号 2095 －610X （20 13）09 －01 16 －04 The Clinical Effect Observation in Balloon Kyphoplasty for Aged Osteoporotic Thoracolumbar Burst Fractures YUAN Xiao-feng ，DUAN Hong ，MIN Jie ，ZHOU Li ，ZHOU Zhao-wen （De pt. of Orthopedic ，The First People ’s Hospital of Kunming City，Kunming Y unnan 650011 ，China) Abstract］Objective To evaluate the possibility and safety of balloon kyphoplasty for the aged osteoporotic thoracolumbar burst fractures. Methods From October 2007 to December 2012，78 patients with aged osteoporotic thoracolumbar burst fractures were treated by balloon kyphoplasty. The inflatable balloon was inserted through pedicle of vertebal arch to make fracture reduction ，then the centrum was stuffed with bone cement. The whole procedure was pinpointed and detected by C-arm x-ray machine. Results All operations were completed successfully. The lumbar and back pain of the patients relieved obviously. The quality of patients life was significantly improved. Imaging examinations revealed that the vertebrae altitude was recovered and the kyphosis was corrected obviously. Conclusion Balloon kyphoplasty is ef