摘要
目的:探讨球囊扩张椎体后凸成形术治疗老年脊柱压缩骨折的疗效。方法:在C型臂X线机引导下,采用美国Kyphon公司提供的微创器械及特制球囊,对46例老年骨质疏松性压缩骨折患者的59个椎体通过椎弓根或椎弓根外途径行经皮穿刺椎体球囊后凸成形术,观察患者术后疼痛缓解情况及压缩椎体高度恢复情况。结果:46例患者术后疼痛均得到有效控制,次日即可佩戴围腰下床行走,VAS评分由术前的平均8.3分下降为2.4分;复查X线片示椎体高度恢复基本满意,术前压缩椎体的前、中缘相当于椎体后缘高度的54.10%±14.49%、58.86%±19.47%,术后恢复到83.56%±27.74%和87.92±22.16%(P<0.01)。未发生严重骨水泥渗漏到椎管内现象出现。结论:球囊扩张椎体后凸成形术治疗老年骨质疏松性脊柱压缩骨折是一种既有效又安全的治疗方法,可有效避免老年人长期卧床所带来的各种并发症。
Objective：To evaluate the curative effect of balloon kyphoplasty in the treatment of vertebral compressive fractures （VCFs） in elderly.Method：46 cases （A total of 59 vertebral bodies） with VCFs were treated by balloon kyphoplasty under the guide of C-arm X-ray.Pains relieve and recoveries of vertebral body heights after operations were observed.Result：All cases with the VCFs had rapid,significant and sustained improvements in back pain following balloon kyphoplasty.Visual analog pain scores（VSA）（normalized to 10-point scale） was reduced from 8.3 to 2.4 points.The anterior and midline vertebral body heights in 59 fractured vertebral bodies increased from 54.10%±14.49%,58.86%±19.47% pre-operation up to 83.56%±27.74%,87.92± 22.16% post-operation（P〈0.01 ） respectively.No severe cement leakage occurred.Conclusion：Balloon kyphoplasty is effective and safe in the treatment of the VCFs in elderly.
出处
《中国脊柱脊髓杂志》
CAS
CSCD
2007年第11期830-832,共3页
Chinese Journal of Spine and Spinal Cord
