后凸成形术治疗骨质疏松性脊柱骨折临床分析  

Clinical analysis of balloon kyphoplasty in treatment of osteoporotic spinal fractures

作　　者：谢晓勇 李平生 李玉茂 黄银兴 林松龄 宋毓鸿 

机构地区：[1]解放军南京军区福州总院95临床部骨科,351100

出　　处：《重庆医学》2008年第11期1151-1153,共3页Chongqing medicine

摘　　要：目的探讨经皮球囊扩张椎体后凸成形术（kyphoplasty，KP）治疗老年骨质疏松性脊柱骨折的临床疗效。方法15例29椎老年骨质疏松性脊柱骨折患者采用KP治疗，观察治疗后局部疼痛、椎体高度及后凸畸形改善情况。结果15例患者疼痛均在2～48h内明显缓解，伤椎高度基本恢复，后凸畸形大部矫正。术后无脊髓神经根受压表现。所有患者均随访6～30个月，平均12．5个月，无并发症发生。结论后凸成形术治疗老年性骨质疏松性脊柱骨折具有微创、止痛效果好、无明显并发症及早期下地活动等优点，但临床应用也有其局限性。Objective To investigate the efficacy of balloon kyphoplasty（KP） in the treatment of aged patients with osteoporotic spinal fracture. Metheds Twenty-nine vertebrae in 15 aged patients with osteoporotic spinal fractures were treated by balloon kyphoplasty. To observe the effect about the pain and vertebral height and Cobb angle after operation. Results The pain of all patients was disappeared in 2--48h, the vertebrae were restored to the normal height and the kyphosis was corrected obviously . No neurologic symptoms appeared after an average of 12.5 （6--30） months follow up. Conclusion KP is a good minimal invasive methed in the treatment of aged patients with osteoporotic spinal fracture. The effect of pain relief is specially remarable. No complications occurr. The patients should be allowed to walk early. But its application is not suitable for the all patients.

关 键 词：骨质疏松 脊柱骨折 脊柱穿刺 后凸成形术 

分 类 号：R687.3[医药卫生—骨科学]