经横突—椎弓根单侧穿刺椎体后凸成形术治疗腰椎骨质疏松性压缩骨折  

Application of percutaneous kyphoplasty by unilateral transverse process-pedicle approach for treatment of lumbar osteoporotic vertebral compression fracture

作　　者：王松[1] 康建平[1] 冯大雄[1] 王高举[1] 修鹏[1] 王清[1] 

机构地区：[1]泸州医学院附属医院,四川泸州646000

出　　处：《山东医药》2012年第32期20-22,共3页Shandong Medical Journal

摘　　要：目的探讨经横突—椎弓根单侧穿刺椎体后凸成形术(PKP)治疗腰椎骨质疏松性压缩骨折(LOVCF)的手术技巧及临床疗效。方法回顾性分析2009年1月～2011年3月经横突—椎弓根单侧穿刺PKP治疗32例LOVCF患者的临床资料。用疼痛视觉模拟评分(VAS),骨折椎前缘、中部高度,Cobb’s角评价经横突—椎弓根单侧穿刺PKP的临床疗效。结果 32例患者手术顺利,伤椎内骨水泥分布均匀,术后伤口愈合良好,未出现神经根损伤、骨水泥椎管内渗漏等严重并发症。28例患者获得随访,随访时间12～36个月、平均29个月。与术前相比,术后VAS评分明显好转,后凸角度明显变小,椎体前缘、中部高度有明显恢复(P<0.05)。结论经横突—椎弓根单侧穿刺PKP是治疗LOVCF的一种有效方法。Objective To explore the surgical technique and clinical efficacy of percutaneous kyphoplasty （PKP） by unilateral transverse process-pediele approach for treatment of lumbar osteoporotie vertebral compression fracture （LOVCF）. Methods The clinical materials of 32 patients with LOVCF, treated by PKP from unilateral transverse process-pediele approach, were retrospectively reviewed from Jan. 2009 to Mar. 2011. The clinical efficacy was evaluated by visual analogue scale （VAS）, anterior/medium height of vertebrae body and Cobb＇ s angle in preoperation and postoper ation. Results PKP was successful in 32 patients without severe complications such as nerve root injury, cement leakage into spinal canal. Cement was well-distributed in vertebrae. Twenty-eight patients were followed up for 12-36 months （ aver age 29 months）. There were significant defferences in VAS, anterior/medium height of vertebrae body and Cobb＇ s angle between preoperation group and postoperation group, P〈 0.05. Conclusion PKP surgery by unilateral transverse process pedicle approach is an effective way to the treatment of LOVCF.

关 键 词：骨质疏松性椎体压缩骨折 经皮椎体后凸成形术 腰椎 横突 椎弓根 

分 类 号：R683.2[医药卫生—骨科学]