摘要
目的分析经皮椎弓根内固定术与经皮椎体后凸成形术(PKP)治疗骨质疏松椎体压缩骨折的临床效果。方法选择本院2011-10-2013-05有明确外伤史的单节段轻、中度骨质疏松性压缩骨折患者49例,20例行经皮椎弓根螺钉内固定术,29例行PKP术。记录两组患者手术时间、出血量,术前、术后第7天及随访过程中患者疼痛VAS评分,椎体前缘、中部相对高度及局部后凸角(Cobb角)。结果所有患者均顺利完成手术,PKP组手术时间和出血量低于椎弓根螺钉组(P<0.05)。术后7天、3、6、12个月,两组患者VAS评分均较术前降低(P<0.05),两组间无明显统计学差异(P>0.05)。两组患者椎体前缘、中缘相对高度较术前明显恢复(P<0.05),局部后凸角明显矫正(P<0.05)。两组间并无统计学差异(P>0.05)。结论经皮椎弓根螺钉内固定术对治疗年龄偏低轻、中度骨质疏松性椎体压缩骨折效果良好,能迅速缓解疼痛,恢复椎体高度,达到与PKP相同的效果。
Objective To analyze the clinical effect of percutaneous pedicle screw fixation and percutaneous kyphoplasty（ PKP） for osteoporotic vertebral compressive fractures（ OVCFs）.Methods From October 2011 to May 2013,we selected 49 mild to moderate osteoporotic patients with single fractured vertebra,20 treated by percutaneous pedicle screw fixation and 29 by PKP,all the patients had unambiguous history of trauma. We recorded the operation time, the amount of blood loss, visual analog scale（ VAS）,the relative height of anterior and middle column of the vertebra and the local kyphotic angle before and after the operation. Results The difference of operation time, the amount of blood loss between the two group were significant（ P〈0.05）. The VAS scores,the relative height of anterior and middle column of the vertebra, the kyphotic angle improved significantly after both operation（ P〈0.05）. Conclusion Percutaneous pedicle screw fixation is an effective treatment for patients with mild to moderate osteoporotic vertebral fractures in terms of pain relief,the height of anterior and middle column vertebra and the kyphotic angle improving as perfectly as the PKP.
出处
《颈腰痛杂志》
2015年第3期215-218,共4页
The Journal of Cervicodynia and Lumbodynia
