康复训练结合脊柱后凸成形术治疗骨质疏松性脊柱压缩型骨折的疗效观察  

Combining physiotherapy with ballon kyphoplasty to treat osteoporotic vertebral compression fracture

作　　者：曾恒[1] 李锋[1] 陈安民[1] 郭风劲[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院矫形外科,武汉430030

出　　处：《中华物理医学与康复杂志》2008年第9期628-630,共3页Chinese Journal of Physical Medicine and Rehabilitation

摘　　要：目的观察球囊扩张脊柱后凸成形术（bKP）、抗骨质疏松药物及康复训练联合治疗骨质疏松性脊柱压缩型骨折的疗效及安全性。方法采用bKP手术治疗12例骨质疏松性脊柱压缩型骨折患者（共计16个患椎），同时给予抗骨质疏松药物治疗及按照骨质疏松康复训练计划（ROPE）进行康复锻炼，每位患者均随访6个月。观察患者术前、术后1d及随访6个月时的并发症、新发骨折、疼痛程度及骨折椎体高度变化情况，采用视觉模拟评分法（VAS）对患者疼痛程度进行评定。结果在本研究治疗期间，未发现患者有并发症及新发骨折。患者术前、术后及随访6个月时的疼痛VAS评分分别为（7．6±1．3）分、（2．1±1．2）分及（2．6±1．4）分，而患椎相对高度分别为（49．2±18．0）％、（74．3±14．0）％及（69．8±16．0）％，可见患者各项指标均较术前水平明显改善。结论bKP手术联合抗骨质疏松药物及康复训练对治疗骨质疏松性脊柱压缩型骨折具有显著疗效，值得临床推广、应用。Objective To evaluate the safety and effectiveness of balloon kyphoplasty combined with physi- otherapy in the treatment of osteoporotic veterbral compression fractures （OVCFs）. Methods A retrospective review was of 12 OVCF cases （including 16 fracture vertebrae） treated with balloon kyphoplasty was performed. Each patient had also been treated with anti-osteoporotic medication and the Rehabilitation of Osteoporosis Program-Exercise （ROPE） protocol, and each had received a six-month follow-up visit. The following parameters were recorded before the operation and 1 day and 6 months afterward ： fracture recurrence, the severity of pain before and after treatment, and the change of vertebral height. The severity of pain was evaluated by using a visual analogue scale （ VAS）. Results During the treatment, no complication or adverse event was found. The average VAS values preoperation, postoperation and at the 6-month follow-up were 7.6± 1.3, 2.1 ±1.2 and 2.6 ± 1.4, respectively. The average changes in vertebral height preoperation, postoperation and at the 6-month follow-up were 49.2 ± 18% , 74.3 ± 14% and 69.8 ±16% respectively. All of the measures evaluated improved noticeably after the combined treatment. Conclusion Balloon kyphoplasty combined with anti-osteoporotic medication and physiotherapy showed good effects in the treatment of osteoporotic veterbral compression fractures.

关 键 词：骨质疏松 脊柱骨折 脊柱后凸成形 康复 

分 类 号：R687.3[医药卫生—骨科学] R580[医药卫生—外科学]