椎体强化术治疗胸腰椎压缩性骨折骨不愈合  

Treatment of vertebral compression fracture nonunion by percutaneous vertebroplasty

作　　者：孙长惠[1] 岑建平[1] 陆炯[1] 邹灵[1] 唐绮[1] 曹鹏[2] 

机构地区：[1]上海交通大学医学院附属瑞金医院卢湾分院,上海200020 [2]上海交通大学医学院附属瑞金医院

出　　处：《中国骨质疏松杂志》2010年第10期750-752,共3页Chinese Journal of Osteoporosis

基　　金：上海市科学技术委员会生物医药及临床重大项目基金资助(10dz1950400)

摘　　要：目的探讨经皮椎体强化术(percutaneous vertebroplasty,PVP)治疗胸腰椎压缩性骨折骨不愈合的临床效果。方法经皮椎弓根入路向椎体内穿针注入骨水泥,手术前后疼痛应用视觉模拟分级法(visual analog scale,VAS)评分。结果 166例192个椎体强化均获成功,22例椎体压缩性骨折骨不愈合,手术时间每个椎体平均35min,术后VAS(2.89±0.25)分。20例术后随访4～25月,胸腰背疼痛无再发及加重,椎体高度无明显变化,相邻椎体未见骨折。结论经皮椎体强化术,操作时间短,能迅速缓解疼痛,恢复椎体高度,增加脊柱稳定性,对治疗胸腰椎压缩性骨折骨不愈合效果良好。Objective To explore the clinical efficacy of percutaneous vertebroplasty （PVP） for the treatment of vertebral compression fracture nonunion. Methods Bone cement was infused into the body of the vertebra through percutaneous approach. The visual analog scale （VAS） was used to assess the pain before and after the operation. Results One hundred and sixty-six PVPs （total 192 vertebra） were all operated successfully. Vertebral compression fracture nonunion occurred in 22 cases. The mean operation time was 35 minutes per vertebrae. The VAS scores after operation was 2.89 ：i：O. 25 points. Twenty patients were followed up 4-25 months after the operation. The chest and back pain was not recurred or aggravated and the height of the vertebral body did not change significantly after the operation. There were no fractures in the adjacent vertebral bodies. Conclusion Operation time of PVP is short. It can relief pain rapidly, recover the height of vertebral bodies, and increase spinal stabilization. It is an effective treatment for vertebral compression fracture nonunion.

关 键 词：椎体 压缩性骨折 骨不愈合 经皮椎体强化术 

分 类 号：R683.2[医药卫生—骨科学]