经皮椎体成形术治疗老年椎体骨质疏松性压缩骨折  

Treatmaent of Senile Osteoporotic Vertebral Body Compression Fractures by Percutaneous Vertebroplasty

作　　者：沈海敏[1] 刘奕[1] 

机构地区：[1]复旦大学附属华东医院骨科,上海200041

出　　处：《中国临床医学》2009年第1期138-139,共2页Chinese Journal of Clinical Medicine

摘　　要：目的:探讨经皮穿刺椎体成形术(PVP)治疗老年椎体骨质疏松性压缩骨折的疗效。方法:自2006年1月—2007年12月对48例65岁以上高龄患者的53个椎体用经皮椎体内注射甲聚基丙烯酸甲酯(PMMA)行椎体成形术。结果:48例患者均获得随访。随访时间3～12个月(平均7.8个月)。术后均未出现骨水泥外漏、脊髓或马尾神经损伤等并发症。疼痛完全消失31例,占64.6%;明显缓解17例,占35.4%;无缓解0例。所有患者均恢复骨折前活动功能,术后未再发生压缩性骨折及疼痛。结论:短期随访证实PVP可以有效改善椎体骨质疏松压缩性骨折患者疼痛症状,对于高龄患者是安全有效的。Objective：To evaluate the effect of percutaneous vertebroplasty（PVP） in the treatment of senile osteoporotic compression fractures. Methods：48 patients（53 vertebra） with vertebral osteoporotic compression fractures were treated with percutaneous polymethy-methacrylate（PMMA） vertebroplasty. Results： All the 48 patients followed up from three to 12 months. None of them experienced cement extravasation, injury of spinal cord and nerve roots or other severe complications after treatment. 31 patients（64.6%） had complete relief, 17（35.4%） were significantly relieved, and 0 had no relief. Moreover, all cases could get up and move within 72 hours after surgery. No further vertebral compression or pains reoccurred postoperatively. Conclusion：PVP can effectively improve the pain in patients with osteoporotic compression fractures of vertebra. It is safe and efficient to senile patients.

关 键 词：椎体成形术 骨水泥 骨质疏松症 压缩性骨折 

分 类 号：R681.5[医药卫生—骨科学]