摘要
目的:评价单侧椎弓根穿刺椎体后凸成形术治疗骨质疏松性椎体压缩骨折的临床效果。方法:2005年5月～2007年7月应用SKY骨扩张器系统行单侧椎弓根穿刺椎体后凸成形术治疗30例骨质疏松性椎体压缩骨折患者,男10例,女20例;年龄58～86岁,平均70.2岁。患者均有腰背部疼痛,共34个椎体骨折,其中单椎体26例,两个椎体4例,骨折部位T8～L3。随访观察患者的疼痛、日常功能以及影像学改变情况。结果:有2例共2个椎体出现骨水泥渗漏,但均未出现临床症状,无其他并发症发生。术后患者腰痛均明显缓解,随访7￣28个月,平均12个月,术前VAS评分8.48±0.50分,术后1周时为2.50±0.54分,末次随访时为2.85±0.34分;Os-westry评分术前为58.00±1.93分,术后为31.00±1.88分,末次随访时为35.00±1.51分;椎体前缘高度术前平均为14.70±1.27mm,术后1周时为24.40±0.90mm,末次随访时为21.50±0.37mm;伤椎后凸角度术前平均为30.50°±1.24°,术后1周时为11.00°±1.07°,末次随访时为13.50°±0.49°。各指标术后及末次随访时与术前比较有显著性差异(P<0.01或P<0.05),而末次随访时与术后1周时比较无显著性差异(P>0.05)。患者均在术后1个月内恢复受伤前的生活。结论:单侧椎弓根穿刺SKY骨扩张器系统椎体后凸成形术可有效恢复骨质疏松性骨折椎体的高度,迅速缓解疼痛,改善患者的生活质量。
Objective：To analyze the clinical and radiographic results of kyphoplasty for vertebral compression fracture via a uni-pedicular approach.Method：30 patients suffered from osteopomfic vertebral compressive fractures and serious back pain were treated by single SKY Bone Expander via a unilateral pedicular approach.There were 10 males and 20 females with an average age of 70.2 years （range,58-86 years）.The fractures include 34 vertebra totally and there were single vertrbral fractures in 26 cases,double in 4 cases.The levels of fractures rangerd from T8 to L3.The pain,daily function and radiographic results were compared before and after operation.Result：Two patients had cement leakage without adverse event.An patients were followed up for 7-28 months, （average 12 months）.VAS score improved from 8.48±0.50 to 2.50±0.54 before and after operation,and was 2.85±0.34 at final follow-up.Oswestry score improved from 58.00±1.93 to 31.00±1.88, and was 35.00±1.51 at final follow-up.The height of anterior column of the vertebrae increased from 14.70±1.27mm to 24.40±0.90mm and was 21.50±0.37mm at final follow-up.Conclusion：Kyphoplasty can be performed using a single SKY Bone Expander via a unilateral pedicular approach.It is a relative simple,safe and minimally invasive treatment for restoring the hight of the compressed vertebrae due to osteopomtic fracture, quickly releasing the back pain and improving the quality of the patients＇ life.
出处
《中国脊柱脊髓杂志》
CAS
CSCD
2008年第5期365-367,共3页
Chinese Journal of Spine and Spinal Cord
关键词
骨质疏松
椎体压缩骨折
微创
后凸成形术
Osteopomsis
Vertebral compression fracture
Minimally invasion
Kyphoplasty
