老年骨质疏松性椎体压缩性骨折患者椎体成形术后非手术椎体再骨折的危险因素  

Risk factors for non-surgical vertebral refracture after vertebroplasty in elderly patients with osteoporotic vertebral compression fractures

作　　者：季宝兵[1] 龚景海[1] 张亮[2] 薛理新[1] JI Bao-bing;GONG Jing-hai;ZHANG Liang;XUE Li-xin(Department of Orthopedics,Friendliness Hospital of Yangzhou,Yangzhou 225200,China;Department of Spine Surgery,the Northern Jiangsu People′s Hospital,Yangzhou 225200,China)

机构地区：[1]江苏省扬州友好医院骨科,扬州市225200 [2]江苏省苏北人民医院脊柱外科,扬州市225200

出　　处：《广西医学》2019年第23期3002-3004,3008,共4页Guangxi Medical Journal

摘　　要：目的探讨骨质疏松性椎体压缩性骨折(OVCF)患者经皮椎体成形术(PVP)和(或)经皮椎体后凸成形术(PKP)术后非手术椎体再骨折的危险因素。方法回顾性分析618例行PVP/PKP治疗的老年OVCF患者的临床资料,根据术后有无非手术椎体再骨折分为再骨折组(n=64)和无再骨折组(n=554)。分析OVCF患者PVP/PKP术后非手术椎体再骨折发生的危险因素。结果PVP/PKP术后有64例(10.36%)患者非手术椎体再发骨折。多因素Logistic回归分析结果显示,高龄、女性、低骨密度值和骨水泥椎间盘渗漏是OVCF患者PVP/PKP术后非手术椎体再骨折的高危因素。结论高龄、女性、低骨密度及骨水泥椎间盘渗漏是老年OVCF患者PVP/PKP术后非手术椎体再骨折的危险因素。Objective To explore the risk factors for non-surgical vertebral refracture after percutaneous vertebroplasty(PVP)and/or percutaneous kyphoplasty(PKP)in the patients with osteoporotic vertebral compression fractures(OVCF).Methods The clinical data of 618 OVCF patients undergoing PVP/PKP were analyzed retrospectively,and the patients were divided into refracture group(n=64)and non-refracture group(n=554)according as non-surgical vertebral refracture occurred postoperatively or not.The risk factors for non-surgical vertebral refracture after PVP/PKP in the OVCF patients were analyzed.Results A total of 64(10.36%)patients suffered from refracture after PVP/PKP.The results of multivariate Logistic regression analysis revealed that advanced age,female,low bone density and cement leakage into inter-vertebral disc were the high-risk factors for non-surgical vertebral refracture after PVP/PKP in patients with OVCF.Conclusion Advanced age,female,low bone density and cement leakage into inter-vertebral disc are risk factors for non-surgical vertebral refracture after PVP/PKP in elderly patients with OVCF.

关 键 词：骨质疏松 椎体压缩性骨折 术后 再骨折 经皮椎体成形术 经皮椎体后凸成形术 危险因素 老年患者 

分 类 号：R683.2[医药卫生—骨科学]