过伸复位在骨质疏松性压缩性骨折经皮椎体后凸成形术中的应用  

Application of hyperextension reduction with percutaneous kyphoplasty in treatment for osteoprotic vertebral compression fracture

作　　者：蒋巍[1] 汤雪明[1] 徐南伟[1] 李海波[1] 

机构地区：[1]南京医科大学附属常州市第二人民医院骨科,213003

出　　处：《中国医师进修杂志》2012年第11期11-13,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的探讨过伸复位在骨质疏松性压缩性骨折经皮椎体后凸成形术中应用的临床效果。方法2010年9月至2011年lO月对23例共23个椎体压缩性骨折患者，应用过伸复位结合经皮椎体后凸成形术进行治疗。随访观察患者疼痛视觉模拟量表（VAS）评分及并发症发生情况。结果23例患者23个椎体经过伸复位结合单侧或双侧椎弓根穿刺成功完成手术，手术时间（75±45）min，平均每个椎体注入骨水泥（4．9±1．9）ml。所有患者无脊髓神经损伤、肺栓塞等并发症。随访（7．5±6．5）个月，所有患者疼痛缓解，术前患者的VAS评分为（7．5±0．7）分，术后第1天降至（3．4±0．4）分，术后第7天降至（2．7±0．5）分，术后1个月降至（2．3±0．5）分，手术前后比较差异有统计学意义（P＜0．05）。结论过伸复位应用于经皮椎体后凸成形术能达到消除疼痛、恢复椎体高度的目的，是治疗骨质疏松性压缩性骨折的有效方法。Objective To discuss the clinical efficacy of hyperextension reduction with percutaneous kyphoplasty in treatment for osteoporotic vertebral compression fracture. Methods Twenty-three patients with 23 vertebral compression fractures underwent hyperextension reduction with percutaneous kyphopiasty from September 2010 to October 2011. The vasual analogue scale （VAS） score and complications were recorded during followed up. Results All cases were successfully experienced the procedure using unilateral or bilateral percutaneous pedicle underwent hyperextension reduction. The operation time was （75 ± 45） minutes,the mean volume of cement injected into each vertebral body was （4.9 ± 1.9） ml. All patients had successful intervention without spinal cord injury, pulmonary embolism. Followed up（7.5 ± 6.5 ） months, the symptoms of the patients were improved, preoperative VAS score was （7.5 ± 0.7 ） scores, reduced to （3.4 ± 0.4） scores at day 1 postoperatively, （2.7 ± 0.5） scores at day 7 postoperatively and （2.3 ± 0.5） scores at month 1 postoperatively,there was significant difference between preoperative and postoperative （P〈 0.05）. Conclusions Application of hyperextension reduction with percutaneous kyphoplasty can relieve pain and restore the vertebral body height, it may be an effective treatment method for patients with osteoporotic vertebral compression fracture.

关 键 词：骨质疏松 脊柱骨折 过伸复位 椎体后凸成形术 

分 类 号：R687.3[医药卫生—骨科学]