过伸位下经皮椎体后凸成形术治疗老年人胸腰椎椎体压缩性骨折  

Hyperextended percutaneous kyphoplasty for elderly thoracolumbar vertebral body compression fractures

作　　者：王金华[1] 任国海[1] 童杰[1] 

机构地区：[1]江汉大学附属医院骨科,武汉430015

出　　处：《骨科》2014年第3期168-171,共4页ORTHOPAEDICS

摘　　要：目的探讨脊柱过伸位辅助复位后,行球囊扩张经皮椎体后凸成形术(percutaneous kyphoplasty,PKP)治疗老年人胸腰段椎体压缩性骨折的临床疗效。方法椎管麻醉下脊柱过伸位在C型臂X线机引导下行PKP治疗25例(30个椎体)合并骨质疏松椎体压缩性骨折患者,并对术前、术后患者的症状和椎体高度进行评估。结果所有患者术后疼痛症状明显减轻甚至消失。椎体高度明显恢复,和术前相比差异具有统计学意义(P<0.05)。未发生明显或严重并发症。结论过伸位下PKP治疗老年人合并骨质疏松的椎体压缩性骨折是一种创伤小、较安全、疗效确切的方法。Objective To investigate the clinical efficacy of the spine hyperextended assisted restoration percutaneous balloon kyphoplasty for elderly thoracolumbar vertebral body compression fractures.Methods After spinal anesthesia at spinal hyperextension,C-arm guided percutaneous kyphoplasty was performed on25 cases（30vertebral osteoporotic vertebral compression fractures）,and preoperative and postoperative assessment of symptoms and vertebral height were recorded respectively.Results The pain symptoms for all patients were significantly reduced or disappeared.Compared to the preoperation,vertebral height was significantly restored.No obvious or significant complications occurred.Conclusion This method is effective for older patients with osteoporosis vertebral compression fractures with less invasion,more safety.

关 键 词：椎体成形术 骨折 压缩性 老年人 

分 类 号：R687.3[医药卫生—骨科学]