摘要
目的探讨过伸复位联合椎体成形术治疗骨质疏松性椎体骨折的疗效。方法选取2010年8月)2011年8月采用过伸复位联合椎体成形术治疗骨质疏松性椎体骨折的患者38例,共46节病变椎体。术后测量和计算椎体高度压缩率和恢复率,椎体后凸角度和矫正率以及患者术后疼痛改善情况(VAS评分),评价治疗效果。结果 38例患者手术均获成功,6例患者术中出现填充材料的椎旁渗漏,均无神经症状。所有患者术后24 h内疼痛均明显缓解。随访12~28个月,平均18.6个月,所有患者均未出现神经症状或其他并发症。术前,术后24h、术后1个月及术后12个月时疼痛强度的VAS评分分别为(8.4±0.6)、(2.4±0.4)、(2.5±0.7)、(2.4±0.6)。术后椎体前壁、中壁、后壁高度恢复率及后凸角度恢复率分别为(57.2±16.4)%、(46.5±12.6)%、(49.6±13.3)%、(56.9±14.1)%,与术前比较差异有统计学意义(P<0.05)。结论过伸复位联合椎体成形术是治疗骨质疏松性椎体压缩骨折的有效方法。
Objective To assess the clinical effect of over - extending reduction combined with percutaneous vertebroplasty （PVP） in treating vertebral compression fractures caused by osteo- porosis. Methods From August 2010 to August 2011, 38 patients （46 vertebraes） with vertebral compression fractures caused by osteoporosis were treated with over- extending reduction by using traction on the operation table, and then PVP was performed on the fractured vertebra. The visual analogue scale （VAS） was used to evaluate the clinical effectiveness. The preoperative and postoper- ative heights of the fractured vertebral body were determined, and the vertebral height recovery ra- tio was calculated. Results The total operations were done successfully, paravertebral leakage of filling materials occurred in 6 patients, and there was no neurological symptoms development. Post- operative back pains （in 24 h） were significantly alleviated in all patients. Patients were followed up for 12 to 28 months, with an average of 18.6 months. All patients showed no neurological symp- toms or other complications o. Pre - operative, 24 h, 1 month and 12 months post - operative pain intensity （VAS score） were 8.4 ±0.6, 2.4 ±0.4, 2.5 ±0.7, 2.4 ±0.6, respectively. The anteri- or, the middle and posterior vertebral height were restored by （57.2 ±16.4） %, （46.5 ±12.6） %, （49.6 ±13.3） %, respectively, and kyphotic angle was corrected by （56.9 ±14.1） % （Compared with the Preoperative, P 〈 0.05）. Conclusion The over- extending reduction combined with PVP is an effective treatment for vertebral compression fractures cau^d by osteoporosis.
出处
《实用临床医药杂志》
CAS
2013年第19期24-26,共3页
Journal of Clinical Medicine in Practice
关键词
质疏松
复位
经皮椎体成形术
椎体压缩骨折
osteoporosis
reduction
percutaneous vertebroplasty
vertebral compressionfracture
