单侧经皮椎体后凸成形治疗单纯胸腰椎压缩骨折57例分析  

Effect of percutaneous kyphoplasty in the treatment of compression fracture of thoracolumbar vertebral: a report of 57 cases

作　　者：李强[1] 李如求[1] 王建波[1] 何飞平[1] 李泳[1] 武文[1] 王军[1] 吴文欣[1] 

机构地区：[1]湖南省第二人民医院脊柱外科,湖南长沙410007

出　　处：《海南医学》2012年第18期59-60,共2页Hainan Medical Journal

摘　　要：目的探讨经皮椎体后凸成形术治疗单纯胸腰椎压缩骨折的临床疗效。方法采用单侧经椎弓根途径经皮穿刺椎体后凸成形术治疗57例(65椎)单纯胸腰椎椎体压缩性骨折患者,根据X线侧位片评定椎体高度恢复,采用VAS评分评定疼痛,对手术前、后的结果采用SPSS11.0统计软件进行分析。结果57例均成功施行椎体成形术,9例出现渗漏,术后椎体高度及疼痛评定与术前比较差异有统计学意义(P<0.01);随访平均14个月(6个月～4年),伤椎高度保持;相邻椎体再发压缩骨折3例,均行PKP术治愈。结论单侧经椎弓根途径经皮穿刺椎体后凸成形术治疗单纯胸腰椎压缩骨折能有效止痛并恢复椎体高度。Objective To study the clinical effect of percutaneous kyphoplasty （PKP） in the treatment of compression fracture of thoracolumbar vertebral Methods Fifty-seven patients with compression fracture of thoraco- lumbar vertebral （65 vertebrae） were treated with PKP via unilateral vertebral pedicles. The pains was evaluated by VAS scores before and aider treatment. Results PKP were performed successfully in all the 65 vertebrae. Nine pa- tients were found with leakage. Vertebral height and VAS scores after treatment showed statistically significant differ- ence from those before treatment （P〈0.01）. All the patients were followed up for 6 months to 4 years （an average of 14 months）. During the follow-up, 3 patients were found with compression fracture in adjacent vertebrae, which were cured by PKP. Conclusion PKP is an effective method for the treatment of compression fracture of thoracolumbar vertebral, with recovered vertebral height.

关 键 词：经皮椎体后凸成形术 椎体压缩骨折 椎体 

分 类 号：R683.2[医药卫生—骨科学]