PKP联合PVP治疗胸腰椎多节段骨质疏松性椎体压缩性骨折的临床研究  

Clinical study of PKP combined with PVP for the teatment of multsegments osteoporotic vertebral compression fracture

作　　者：赵敏[1] 熊斌[1] 高伟[1] 周江军[1] 付美清[1] 史柏娜[1] 杨俊[1] 张立[1] 

机构地区：[1]中国人民解放军第184医院骨科,江西鹰潭335000

出　　处：《颈腰痛杂志》2013年第1期18-21,共4页The Journal of Cervicodynia and Lumbodynia

摘　　要：目的探讨经皮椎体后凸成形术(PKP)联合椎体成形术(PVP)治疗胸腰椎多节段骨质疏松性椎体压缩性骨折的临床疗效。方法自2008-01-2011-02采用PVP+PKP术治疗胸腰椎多节段骨质疏松性椎体压缩性骨折30例(108椎)均为新鲜骨折,选择椎体压缩程度≥1/3且≤2/3采用PKP技术,椎体压缩程度<1/3及>2/3采用PVP技术,Cobb’s角观察术后椎体后凸畸形矫正情况及视觉模拟疼痛评分(VAS)对患者疼痛进行评价。结果平均随访14个月(6～24个月),术后骨折后凸畸形Cobb’s角平均矫正20.6°,术后胸腰背部疼痛VAS评分明显改善。结论 PKP联合PVP治疗胸腰椎多节段骨质疏松性椎体压缩性骨折具有创伤小,用时短,止痛效果好,恢复椎体高度,矫正脊柱后凸畸形,能增强脊柱稳定性,是一种简单、安全有效的方法。Objective To explore the clinical results of PKP and PVP for treatment of multseg- ments of osteoporotic vertebral compression fracture of thoracolumbar. Methods From January 2008 to February 2011,30 patients（108 vertebral） with OVCF of thoracolumbar were treated by PVP and PKP. For patients with CDVB≥1/3,and PKP was used.CDVB〈2/3 and if CDVB〈1/3,CDVB〈2/3 PVP was used. Observe the correction of vertebral after operation by cobb＇s angle. And VAS was used to evaluate the pain of the patients. Results The mean follow-uptime was 14 months （6 to 24 months）. The X-ray film shows that the average degree of spine kyphosis correction was 20.6~. The pain of chest and back improved obviously. Conclusion It is a simple, safe and efficient way to treat patients with OVCF by using PKP and PVP,which is with little trauma,low pain and can restore the vertebral height, correct kyphosis angle and increase spinal stability.

关 键 词：经皮椎体后凸成形术 椎体成形术 骨质疏松 脊柱骨折 多节段 

分 类 号：R589[医药卫生—内分泌]