经皮椎体成形修复非骨质疏松单节段椎体创伤性压缩骨折  

Percutaneous vertebroplasty repairs non-osteoporotic single-segmental vertebral traumatic compression fractures

作　　者：张强 罗谨 杨刘柱 李瑞龙 李赵扉 严鑫平 吴波[2] 梁大地 

机构地区：[1]贺州市人民医院脊柱骨关节外科,广西壮族自治区贺州市542899 [2]南方医科大学珠江医院骨科中心,广东省广州市510280

出　　处：《中国组织工程研究》2016年第4期534-538,共5页Chinese Journal of Tissue Engineering Research

基　　金：贺州市科学研究与技术开发计划(贺科转130309)~~

摘　　要：背景:经皮椎体成形是否可以用于治疗非骨质疏松单节段椎体创伤性压缩骨折尚存在争议。目的:观察经皮椎体成形修复非骨质疏松单节段椎体创伤性压缩骨折的效果。方法:收集贺州市人民医院在2010年3月至2013年1月行经皮椎体成形治疗创伤性非骨质疏松性椎体压缩性骨折患者20例,观察患者修复前后目测类比评分及Oswestry功能障碍指数卷表评分的变化。结果与结论:(1)与修复前相比,修复后患者的目测类比评分及Oswestry功能障碍指数卷表评分明显降低,且修复后3,6,12,18个月患者的目测类比评分及Oswestry功能障碍指数卷表评分接近。(2)所有患者未出现不良反应及并发症。(3)结果提示经皮椎体成形治疗非骨质疏松单节段椎体创伤性压缩骨折具有快速缓解腰背部疼痛改善胸腰段活动度的效果。BACKGROUND： It is still controversial about whether percutaneous vertebroplasty can be as an option for treatment of non-osteoporotic single-segmental vertebral traumatic compression fractures. OBJECTIVE： To observe the effect of percutaneous vertebroplasty in repair of non-osteoporotic single-segmental vertebral traumatic compression fractures. METHODS： Totally 20 patients who underwent percutaneous vertebroplasty in repair of non-osteoporotic single-segmental vertebral traumatic compression fractures between March 2010 and January 2013 were collected. The variation of visual analog scale scores and the Oswestry disability index scores of patients was observed before and after the repair. RESULTS AND CONCLUSION：（1） The visual analog scale scores and the Oswestry disability index scores of patients were significantly reduced after repair compared with those before repair, moreover, the visual analog scale scores and the Oswestry disability index scores of patients at the 3, 6, 12 and 18 months after repair were similar.（2） All patients had no adverse effects and complications.（3） These results suggest that percutaneous vertebroplasty in repair of non-osteoporotic single-segmental vertebral traumatic compression fractures quicklyrelieves back pain and improves the actives of thoracolumbar segments.

关 键 词：椎体成形术 骨折 压缩性 骨质疏松 组织工程 骨科植入物 脊柱植入物 经皮椎体成形 创伤 椎体压缩性骨折 非骨质疏松 单节段 目测类比评分 Oswestry功能障碍指数卷表评分 

分 类 号：R318[医药卫生—生物医学工程]