椎体成形术后再发骨折的相关因素分析  

Risk Factors of Re-fracture after Percutaneous Vertebroplasty

作　　者：潘定权[1] 李静伟[1] 何康宏[1] 史晓林[2] 

机构地区：[1]浙江中医药大学,浙江杭州310053 [2]浙江中医药大学附属第二医院,浙江杭州310005

出　　处：《中华中医药学刊》2014年第7期1612-1614,共3页Chinese Archives of Traditional Chinese Medicine

基　　金：国家中医药行业科研专项(201307010)

摘　　要：经皮椎体成形术(percutaneous vertebroplasty PVP)是一种非常有效,并广泛应用于治疗骨质疏松性椎体压缩性骨折(osteoporotic vertebral compression fractures OVCFs)的微创手术,它以其创伤小、显效快等优势而被广大医生及患者所接受。然而,该手术的临床适应症仍存在一定争议,因其可能与术后椎体再发骨折相关。PVP术后相邻椎体新发骨折是否由手术继发,还是骨质疏松性椎体的自然病程,目前仍没有明确的定论。就PVP是否会增加术后再骨折的风险、及再发骨折的其他相关危险因素作一简单综述。Percutaneous Vertebroplasty（PVP） is a very effective minimally invasive surgery,which is widely used for the management of osteoporotic vertebral compression fractures（OVCFs）.And with the advantages of trauma,markedly faster,it is being accepted by the majority of doctors and patients.However,the clinical indications of this procedure are still under debate,so is its possible relationship with the development of additional vertebral fractures.Whether the new fracture on adjacent vertebral body after this procedure is caused by PVP or the osteoporotic vertebral natural course,there is still no clear conclusion.This paper is a overview about whether PVP can increase the risk of postoperative fractures and other risk factors of recurrent fractures.

关 键 词：骨质疏松性椎体骨折 椎体成形术 再骨折 相关因素 

分 类 号：R687.3[医药卫生—骨科学]