经皮椎弓根入路椎体后凸成形术术前与术后脊柱形态与运动性改变比较分析  

Comparative Analysis of Spinal Form and Motility Before and After Percutaneous Kyphoplasty Via Extrapedicular Approach

作　　者：李生文[1] 阮朝阳[1] 

机构地区：[1]浙江省嘉兴市海宁市人民医院骨二科,浙江嘉兴314400

出　　处：《中国卫生标准管理》2018年第2期72-74,共3页China Health Standard Management

摘　　要：目的探讨经皮椎弓根入路椎体后凸成形术术前与术后脊柱形态与运动性改变情况。方法回顾性分析40例脊椎骨折患者行经皮椎弓根入路椎体后凸成形术治疗的临床资料,比较术前、术后3个月脊柱冠状面侧凸Cobb角、矢状面垂直偏距(SVA)、伤椎前缘高度丢失百分数、运动参数改变、疼痛视觉模拟评分(VAS)等指标的变化。结果与术前的评估相比,矢状面与冠状面的形态、运动参数在术后差异均存在统计学意义(P<0.01);术后疼痛VAS评分较术前降低(P<0.01)。结论经皮椎弓根入路椎体后凸成形术可改善脊柱的形态结构和运动性。Objective To explore the changes of spinal form and motility before and after percutaneous kyphoplasty via extrapedicularapproach. Methods The clinical data of 40 vertebral fracture patients with percutaneous kyphoplasty were analyzed and the Cobb’s angle recovery, SVA, LKA, exercise parameters and VAS before and 3 months after operation were compared. Results Compared with the results of preoperative assessment, the SVA scores and exercise parameters were significant changed after operation （P 〈 0.01）. The VAS score decreased obviously after operation （P 〈 0.01）. Conclusion Percutaneous kyphoplasty via extrapedicular approachcan dramatically improves the spinal form and motility.

关 键 词：脊椎骨折 椎弓根入路 椎体后凸成形术 脊柱形态 运动性 

分 类 号：R681[医药卫生—骨科学]