摘要
目的分析经皮椎体后凸成形术(percutaneous kyphoplasty,PKP)术中伤椎骨水泥弥散容积/椎体容积占比与临床疗效的相关性。方法回顾性分析2018年5月~2020年12月本院行单侧PKP手术治疗的65例骨质疏松性椎体压缩骨折(osteoporotic vertebral compression fracture,OVCF)患者,观察其手术疗效,同时计算患者术后伤椎骨水泥弥散容积/椎体容积占比,分析该指标与临床疗效各指标的相关性。结果术后3 d,所有患者的VAS评分和ODI指数均显著低于术前、Barthel指数和椎体前缘高度显著高于术前,差异有统计学意义(P<0.05)。Pearson相关性分析显示,骨水泥弥散容积/椎体容积占比与VAS评分、ODI指数、Barthel指数和椎体前缘高度均没有相关性(P>0.05)。结论单侧PKP手术能够有效缓解OVCF患者的疼痛程度,恢复躯体功能及骨折椎体结构,骨水泥的弥散容积与患者疼痛恢复、功能恢复及影像学指标均无显著相关性。
Objective To analyze the correlation between the proportion of diffusion volume of diseased vertebral cement and vertebral body volume and clinical efficacy during percutaneous kyphoplasty(PKP).Methods From May 2018 to December 2020,65 patients with osteoporotic vertebral compression fracture(OVCF)who underwent unilateral PKP surgery in our hospital were analyzed retrospectively.The surgical efficacy was observed.At the same time,the proportion of postoperative injured vertebral cement diffusion volume/vertebral body volume was calculated,and the correlation between this index and various indicators of clinical efficacy was analyzed.Results Three days after operation,the VAS score and ODI index of all patients were significantly lower than those before operation,Barthel index and the height of anterior vertebral body were significantly higher than that before operation(P<0.05).Pearson correlation analysis showed that the proportion of bone cement diffusion volume/vertebral body volume had no correlation with VAS score,ODI index,Barthel index and vertebral front height(P>0.05).Conclusion PKP can effectively relieve the pain of patients with OVCF,restore physical function and fractured vertebral structure.There is no significant correlation between the diffusion volume of bone cement and pain recovery,functional recovery and imaging index.
作者
陈浩
张贤锋
杨凡朋
CHEN Hao;ZHANG Xian-feng;YANG Fan-peng(Department of Orthopedics,Affiliated Hospital of West Anhui Health Vocational College(the Second People's Hospital of Lu'an),Lu'an,Anhui 237000,China)
出处
《颈腰痛杂志》
2022年第2期215-217,221,共4页
The Journal of Cervicodynia and Lumbodynia
