过伸体位复位联合Confidence高黏度椎体骨水泥椎体成形术治疗椎体骨质疏松压缩性骨折  

Hyperextension postural reduction combined with confidence high viscosity vertebral bone cement vertebralplasty in treatment of vertebral osteoporotic compression fractures

作　　者：张愈峰[1] 龚辉[2] 侍德[2] 

机构地区：[1]南通大学附属医院分院骨科,江苏南通226000 [2]南通大学附属医院骨科,江苏南通226000

出　　处：《中国矫形外科杂志》2016年第2期110-113,共4页Orthopedic Journal of China

摘　　要：[目的]分析过伸体位复位联合Confidence高黏度椎体骨水泥椎体成形术治疗椎体骨质疏松压缩性骨折的临床疗效。[方法]回顾性分析2011年10月~2015年2月来本院骨科就诊的椎体骨质疏松压缩性骨折患者50例,共74个椎体,随机数字法分为两组,对照组患者行经皮椎体成形术,观察组患者行过伸体位复位联合Confidence高黏度椎体骨水泥椎体成形术,比较两组患者临床疗效。[结果]术后两组患者VAS评分、Cobb角和Oswesty功能评分均较术前明显改善（P〈0.05）,且观察组患者Cobb角改善幅度更大;观察组患者术后伤椎前缘和中线高度压缩率均较术前明显改善（P〈0.05）,且均明显优于对照组。[结论]过伸体位复位联合Confidence高黏度椎体骨水泥椎体成形术治疗椎体骨质疏松压缩性骨折临床疗效确切,能够有效恢复椎体高度,矫正后凸畸形,骨水泥渗漏风险小,值得临床推广应用。[Objective]To analyze the clinical effect of hyperextension postural reduction combined with high viscosity vertebral bone cement vertebralplasty in treatment of vertebral osteoporotic compression fractures. [Method]Fifty patients with vertebral osteoporotic compression fractures（ 74 vertebral） in our hospital were selected and randomly divided into two groups. Patients in the control group received percutaneous vertebral angioplasty,while those in the observation group received hyperextension postural reduction combined with high viscosity vertebral bone cement vertebralplasty. The clinical curative effect were oberved and compared between two groups. [Result]Postoperative VAS score,Cobb angle,and Oswesty function score in two groups both improved significantly compared with the preoperative indicators（ P〈0. 05）,and Cobb angle of the patients in the observation group improved more significantly. Preoperativethe leading edge and ratio of the midline of the vertebral height compression in the observation group were improved significantly compared with those in the control group（ P〈0. 05）. [Conclusion]Hyperextension postural reduction combined with high viscosity vertebral bone cement vertebralplasty has exact clinical curative effect in vertebral osteoporotic compression fractures. It can effectively restore vertebral height,correct kyphosis and at the same time,with smaller risk of bone cement leakage.

关 键 词：椎体骨质疏松压缩性骨折 经皮椎体成形术 过伸体位复位 Confidence高黏度椎体骨水泥 

分 类 号：R687.3[医药卫生—骨科学]