经皮椎体后凸成形术治疗骨质疏松性脊柱压缩骨折  

Percutaneous kyphoplasty for treatment of spine osteoporotic vertebral compression fracture

作　　者：戴勇[1] 周思启[1] 万波[1] 杨世龙[1] 杨祖华[1] DAI Yong;ZHOU Si-qi;WAN Bo;YANG Shi-long;YANG Zu-hua(Section Ⅰ,Dept of Orthopaedics,the Third People′s Hospital of Hefei,Hefei,Anhui 230022,China)

机构地区：[1]合肥市第三人民医院骨一科,安徽合肥230022

出　　处：《临床骨科杂志》2020年第5期644-646,共3页Journal of Clinical Orthopaedics

摘　　要：目的探讨经皮椎体后凸成形术(PKP)治疗骨质疏松性脊柱压缩骨折的疗效。方法采用PKP治疗20例骨质疏松性脊柱压缩骨折患者(23个椎体)。比较术前、术后3 d和末次随访时的疼痛VAS评分、伤椎前缘相对高度比、Cobb角。结果患者均顺利完成手术。患者均获得随访,时间3~12个月。2例出现骨水泥轻微外漏,经临床观察无明显症状,未予特殊治疗;1例术后邻椎骨折,经再次PKP治疗后缓解。术后3 d和末次随访时,VAS评分均较术前明显下降(P<0.05),伤椎前缘相对高度比、Cobb角均较术前明显改善(P<0.05)。结论PKP治疗骨质疏松性脊柱压缩骨折可获得较好的临床疗效。Objective To investigate the clinical outcome of percutaneous kyphoplasty(PKP)for treatment of osteoporotic vertebral compression fracture.Methods A total of 20 patients(23 vertebrae)with spinal osteoporotic vertebral compression fractures were treated with PKP.The pain VAS,height ratio of injured vertebral anterior edge and Cobb angle were compared at the preoperation,3 d postoperation and last follow-up.Results All patients were successfully operated and followed up for 3~12 months.There were slight leakage of bone cement in 2 cases,no obvious symptoms were observed and no special treatment was performed.One case of adjacent vertebral re-fracture was relieved after PKP treatment again.VAS of the postoperative 3 d and final follow-up were significantly decreased,compared with the preoperation(P<0.05);the height ratio of injured vertebral anterior edge and Cobb angle were significantly improved after operation than the preoperation(P<0.05).Conclusions PKP is an effective treatment for osteoporotic vertebral compression fracture.

关 键 词：经皮椎体后凸成形术 脊柱压缩骨折 骨质疏松症 

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