过伸复位结合经皮椎体成形术治疗新鲜骨质疏松性胸腰椎压缩骨折  

Hyperextension reduction combined with percutaneous vertebroplasty in the treatment of newly diagnosed osteoporotic vertebral body compressed fractures

作　　者：夏东升[1] 王斌[1] 闫长明[1] 王云清[1] 贾星海[1] 林岩[1] 

机构地区：[1]徐州医学院第二附属医院骨科,江苏徐州市221000

出　　处：《微创医学》2013年第5期557-559,共3页Journal of Minimally Invasive Medicine

摘　　要：目的探讨过伸复位结合经皮椎体成形术(PVP)联合治疗新鲜骨质疏松性胸腰椎压缩性骨折的疗效。方法采用过伸复位结合PVP术治疗新鲜骨质疏松性胸腰椎压缩骨折27例(32椎),对病人手术前1 d、术后3 d、术后1年的VAS值、病变椎体前缘高度、Cobb角作统计分析。结果手术均取得成功,无死亡、肺栓塞、骨水泥渗漏等并发症。平均随访18个月(17个月至3年),疼痛症状缓解,椎体高度、Cobb角改善。VAS评分、椎体前缘高度、Cobb角各项指标术后3 d和术后1年与术前比较,差异具有统计学意义(P<0.05),术后3 d与术后1年比较差异均无统计学意义(P>0.05)。结论过伸复位结合PVP术治疗老年新鲜骨质疏松性胸腰椎压缩骨折取得满意效果,为老年骨质疏松行压缩骨折的治疗提供一种新的选择。Objective To explore the therapeutic efficacy of hyperextension reduction combined with percutaneous vertebroplasty in the treatment of newly diagnosed osteoporotic vertebral body compressed fractures（OVCF）. Methods Thirty-two vertebral bodies in 27 cases with OVCF were treated with hyperextension reduction combined with percutaneous vertebroplasty, the therapeutic efficacy was assessed by using visual analogue scale （ VAS ）, the anterior vertebral height, and Cobb＇ s angle. Results All patients tolerated the procedure well. No operation death, pulmonary embolism, or bone cement leakage was reported. All patients were followed up for 17 -36 months. VAS scores,the anterior vertebral heigh,and Cobb＇s angle improved significantly after the surgery. Compared with pre-operation, there was significant difference in VAS scores,the anterior vertebral heigh and Cobb＇ s angle 3 days or 1 year after operation （ P 〈 0.05 ）, but not between 1 year and 3 days after operation（P 〉 0.05）. Conclusion Hyperextension reduction combined with percutaneous vertebroplasty can obtain satisfactory curative effect in the treatment of newly diagnosed aged OVCF,implying it as a new choice for these patients.

关 键 词：椎体成形术 过伸复位 骨质疏松性椎体压缩骨折 

分 类 号：R687.3[医药卫生—骨科学]