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骨质疏松性脊柱多发性骨折后凸成形术近期疗效分析 被引量：15

Analysis of the early results of balloon kyphoplasty in the treatment of multiple osteoporotic spinal fractures
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摘要 [目的]探讨经皮球囊扩张椎体后凸成形术(Kyphoplasty KP)治疗老年多发性骨质疏松性脊柱骨折的临床疗效。[方法]8例18椎老年骨质疏松性脊柱骨折患者采用KP治疗,观察治疗后局部疼痛、椎体高度及后凸畸形改善情况。[结果]8例患者疼痛均在2～48h内明显缓解,伤椎高度基本恢复,后凸畸形大部矫正。术后无脊髓神经根受压表现。所有病人均取得随访6～18个月,平均10.6个月,无并发症发生。[结论]后凸成形术治疗老年多发性骨质疏松性脊柱骨折具有微创、止痛效果好、无明显并发症及早期下地活动等优点,但临床应用也有其局限性。
作者 谢晓勇 李平生 李玉茂 黄银兴 宋毓鸿
机构地区 南京军区福州总医院九五临床部骨科
出处 《中国矫形外科杂志》 CAS CSCD 北大核心 2008年第6期467-468,共2页 Orthopedic Journal of China
关键词 骨质疏松 脊柱骨折 脊柱穿刺 后凸成形术
分类号 R687.3 [医药卫生—骨科学]
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参考文献5

  • 1Barr JD, Barr MS, Lemley TJ, et al. Percutaneous vertebroplasty for pain relief and spine stabilization[J].Spine,2003,5:923-928.
  • 2Mathis JM, Barr JD, Belkoff SM, et al. Percutaneous vertebroplasty: a developing standard of care for vertebral compression fractures[J].AJNR AmJ. Neuroradiol, 2001,2:373.
  • 3徐宝山,胡永成.经皮椎体后凸成形术的临床应用进展[J].中华骨科杂志,2003,23(5):271-274. 被引量：78
  • 4Martin JB, Jean B, Sugin K, et al. Vertebroplasty:clinical experience and follow-up results[J].Bone,1999,2:11-15.
  • 5海涌,陈志明,彭军,吴继功,马华松,邹德威.椎体后凸成形术治疗骨质疏松性脊柱压缩骨折[J].中国矫形外科杂志,2005,13(19):1450-1452. 被引量：32

二级参考文献37

  • 1Burton AW, Rhines LD, Mendel E. Vertebroplasty and kyphoplasty: a comprehensive review [ J ]. Neurosurg Focus,2005,18 (3): 1-9.
  • 2Truumees E, Hilibrand A, Vaeearo AR. Percutaneous vertebral augmentation[ J]. Spine Journal,2004,4(3) :218-229.
  • 3Coumans JV, Reinhardt M, Lieberman IH. Kyphoplasty for vertebral compression fractures: 1 year clinical outcomes from a prospective study[ J]. J Nenrosurg( Spine 1 ) ,2003,99:44-50.
  • 4Lieberman IH, Dudency S, Reinhardt MK, et al. Initial outcome and efficacy of "kyphoplasty" in the treatment of painful osteoporotic vertebral compression fractures[ J]. Spine,2001,26:1631-1638.
  • 5Garfin SR, Yuan HA, Reilcy MA. New technologies in spine: kyphoplasty and vertebroplasty for the treatment of painful osteoporotic compression fractures[ J]. Spine,2001,26:1511-1515.
  • 6Weill A, Chiras J, Simon JM, et al. Spinal metastases: indications for and results of percutaneous injection of acrylic surgical cement. Radiology, 1996, 199: 241-247.
  • 7Cotten A, Dewatre F, Cortet B, et al. Percutaneous vertebroplasty for osteolytic metastases and myeloma: effects of the percentage of lesion filling and the leakage of methyl methacrylate at clinical follow-up. Radiology, 1996, 200: 525-530.
  • 8Cotten A, Boutry N, Cortet B, et al. Percutaneous vertebroplasty: state of the art. Radiographics, 1998, 18: 311-323.
  • 9Jensen ME, Evans AJ, Mathis JM, et al.Percutaneous polymethylmethacrylate vertebroplasty in the treatment of osteoporotic vertebral body compression fractures: technical aspects. AJNR Am J Neuroradiol,1997, 18: 1897-1904.
  • 10Mathis JM, Ban JD, Belkoff SM, et al. Percutaneous vertebroplasty: a developing standard of care for vertebral compression fractures. AJNR Am J Neuroradiol, 2001, 22:373-381.

共引文献108

同被引文献146

引证文献15

二级引证文献141

中国矫形外科杂志
2008年 第6期

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