摘要
目的观察胸腰椎爆裂骨折采用微创椎体成形术治疗的安全性和有效性。方法回顾分析12例胸腰段椎体爆裂骨折采用微创椎体成形术治疗,其中4例为单纯的椎体成形术(PVP),8例为后凸椎体成形术(PKP)。根据疼痛视觉模拟评分VAS评分法评估疼痛缓解的疗效,根据骨水泥进入椎管的比率及神经并发症评估安全性。结果术后VAS评分同术前相比都有明显下降(P<0.05),PVP组有2例骨水泥渗漏,PKP组有1例骨水泥渗漏以及1例术后心梗,但均无神经系统并发症。结论椎体成形术及椎体后凸成形术都能有效缓解骨质疏松性椎体压缩骨折患者的疼痛,但有一定的骨水泥渗漏危险。微创椎体成形术可能为胸腰椎爆裂骨折的治疗提供了一个新的选择。
Objective To observe the safety and effectiveness of the treatment of thoracolumbar burst fractures. Methods Retrospectively analyse the treatment of 12 cases thoracolumbar burst fractures with percutaneous vertebroplasty, 4 cases PVP and 8 cases PKP. We evaluate the effect of pain relief based on VAS score, and evaluate the safety based on the ratio of bone cement in the spinal canal and neural complication. Results Postoperative VAS score decreased obviously compared with preoperative VAS score, 2 cases bone cement leakage in PVP group and 1 case bone cement leakage in PKP group, no neural complication in two groups. Conclusion PVP and PKP all can relieve the pain resulting from osteoporotic vertebra fracture, but bone cement leakage risk should be considered. Percutaneous vertebroplasty is a new choice for thoracolumbar burst fractures.
出处
《中国骨质疏松杂志》
CAS
CSCD
2009年第11期838-839,856,共3页
Chinese Journal of Osteoporosis
关键词
椎体成形术
骨质疏松
胸腰椎爆裂骨折
Vertebrop lasty
Osteoporosis
Thotacolumbar burst fracture
