经皮球囊扩张椎体后凸成形术治疗老年骨质疏松性胸腰椎压缩骨折的疗效分析  

Analysis of effect of percutaneous balloon vertebroplasty for treatment of osteoporotic fractures of thoracolumbar spine in the elderly

作　　者：常龙 张晨[1] 张佳林[1] 付斌[1] 夏根[1] 陈德胜[1] CHANG Long;ZHANG Chen;ZHANG Jia-lin;FU Bin;XIA Gen;CHEN De-sheng(Department of Orthopaedics,General Hospital of Ningxia Medical University,Yinchuan,Ningxia 750004,China)

机构地区：[1]宁夏医科大学总医院骨科,宁夏银川750004

出　　处：《中国骨与关节损伤杂志》2021年第3期232-234,共3页Chinese Journal of Bone and Joint Injury

基　　金：国家自然科学基金(81760405,81760395);宁夏自治区自然科学基金(2018AAC02013);宁夏医科大学校级科研项目(XZ2018014)。

摘　　要：目的探讨经皮球囊扩张椎体后凸成形术(Percutaneous kyphoplasty,PKP)治疗老年骨质疏松性胸腰椎压缩骨折的临床疗效。方法回顾性分析自2017-01—2019-12采用PKP治疗的265例骨质疏松性胸腰椎压缩骨折,比较术前、术后1 d、术后3个月、术后6个月疼痛VAS评分、ODI指数、椎体前缘高度、伤椎后凸角。结果 265例均顺利完成手术并获得完整随访,随访时间6~8个月,平均7.1个月。术后1 d疼痛VAS评分较术前明显改善,术后3个月疼痛VAS评分较术后1 d改善;术后1 d ODI指数较术前明显减小,术后3个月ODI指数较术后1 d减小;术后1 d椎体前缘高度较术前明显增加,伤椎后凸角较术前减小,差异有统计学意义(P<0.05)。结论 PKP能短期内显著改善患者术后疼痛症状,并且能恢复椎体高度和改善椎体后凸畸形,是治疗老年骨质疏松性胸腰椎压缩骨折的有效方法。Objective To explore the clinical effect of percutaneous kyphoplasty(PKP) in the treatment of elderly osteoporotic thoracolumbar compression fractures.MethodsA retrospective analysis of 265 cases of osteoporotic thoracolumbar compression fractures treated with PKP from January 2017 to December 2019 was conducted. The VAS score, ODI index, anterior vertebral height and kyphosis angle of injured vertebra were compared before operation, 1 day, 3 months and 6 months after operation.ResultsAll 265 patients were followed up successfully for 6-8 months(mean 7.1 months). The pain VAS score at 1 d after operation was significantly improved compared with that before operation, and the VAS score at 3 months after operation was significantly improved compared with that at 1 d after operation. The ODI index at 1 d after operation was significantly lower than that before operation, and the ODI index at 3 months after operation was significantly lower than that on 1 d after operation.The height of the anterior edge of the vertebra was significantly increased and the kyphosis angle of the injured vertebra was significantly decreased on day 1 after operation, with statistical significance(P<0.05).ConclusionPKP can significantly improve patients’ postoperative pain symptoms in a short period of time. It can restore the height of the vertebral body and improve the kyphosis. It is an effective method for the treatment of elderly osteoporotic thoracolumbar compression fractures.

关 键 词：经皮球囊扩张椎体后凸成形术 胸腰椎 骨质疏松性椎体压缩骨折 老年 

分 类 号：R687.3[医药卫生—骨科学]