经皮椎体后凸成形术治疗老年骨质疏松性椎体压缩性骨折  

Age-related osteoporotic vertebral compression fractures treated with percutaneous kyphoplasty

作　　者：王刚[1] 徐自胜[1] 

机构地区：[1]安庆市石化医院骨科,安徽安庆246001

出　　处：《临床骨科杂志》2014年第4期387-389,共3页Journal of Clinical Orthopaedics

摘　　要：目的：探讨经皮椎体后凸成形术（ PKP）治疗老年骨质疏松性椎体压缩性骨折（ OVCF）的临床疗效。方法对60例老年OVCF患者采用PKP治疗，手术在C臂机透视下进行。记录并比较术前、术后3 d、术后1年的视觉模拟疼痛评分（ VAS）及病椎最大塌陷处的高度、Cobb角的变化。结果60例均获得随访，时间1～年，术后病椎疼痛症状均显著缓解。术后3 d和术后1年的VAS评分、病椎最大塌陷处的高度、Cobb角与术前比较差异均有统计学意义（ P＜0.01）。结论 PKP治疗老年OVCF可以有效恢复椎体高度和矫正后凸畸形，迅速缓解疼痛，提高患者的生活质量。Objective To investigate the clinical efficacy of percutaneous kyphoplasty （ PKP ） for the treatment of age-related osteoporotic vertebral compression fractures （OVCF）. Methods 60 patients who suffered from OVCF were retrospectively reviewed. All operations were performed under C arm X-ray machine guidance. The data such as visual analogue scale （ VAS） scores, vertebral height and Cobb angle was recorded and compared among preopera-tive, 3 days after surgery and one year after surgery. Results All patients were followed up for 1~3 years. All pa-tients reported significant alleviation of pain after treatment. There was significant differences of VAS scores, vertebral height and Cobb angle among preoperative, 3 days after surgery and one year after surgery （P〈0. 01）. Conclusions PKP can restore the vertebral height and kyphotic angle and provide significant pain relief. It can improve the pa-tients’ life quality.

关 键 词：经皮椎体后凸成形术 骨质疏松 椎体压缩性骨折 骨水泥 

分 类 号：R683.2[医药卫生—骨科学] R687.3[医药卫生—外科学]