骨质疏松性胸腰椎压缩骨折椎体成形术后残余背痛影响因素的研究进展  

Research progress in risk factors of residual back pain after vertebroplasty in thoracolumbar osteoporotic compression fractures

作　　者：李耀[1] 吴爱悯[1] 林焱[1] 王向阳[1] 武垚森[1] Li Yao;WuAimin;Lin Yan;Wang Xiangyang;Wu Yaosen(Department of Orthopedic Spine,Second Affiliated Hospital of Wenzhou Medical University,Yuying Children’s Hospital,Wenzhou 325027,China)

机构地区：[1]温州医科大学附属第二医院,育英儿童医院脊柱外科,325027

出　　处：《中华创伤杂志》2021年第10期955-960,共6页Chinese Journal of Trauma

基　　金：浙江省基础公益研究计划(LGF20H060013)。

摘　　要：胸腰椎骨质疏松性椎体压缩骨折(OVCF)在骨质疏松症患者中较为常见,严重影响其生活质量。经皮椎体成形术(PVP)和经皮椎体后凸成形术(PKP)是治疗OVCF较为常用且有效的手术方式,但术后不少患者仍存在不同严重程度的残余背痛,影响患者的术后康复。骨密度、术后感染、骨水泥渗漏损伤神经、筋膜损伤和小关节突关节侵扰等可能是造成残余背痛的潜在影响因素。笔者就椎体成形术后残余背痛的定义和相关影响因素如伤椎数目及位置、骨密度、筋膜损伤、椎体裂隙征、骨水泥注入量及分布、手术相关因素及手术所致的关节突侵扰的研究进展进行综述,为临床治疗提供参考。Thoracolumbar osteoporotic,vertebral compression fracture(OVCF)is more common in patients with osteoporosis,which seriously affects the life quality of the elderly.Percutaneous vertebroplasty(PVP)and percutaneous kyphoplasty(PKF)are the conventionally effective strategies for treatment of OVCF,whereas quite a lot OVCF patients still sufferred from residual back pain,affecting postoperative recovery.Bone density,postoperative infection,cement leakage induced nerve injury,fascia injury and facet joint violation may be the potential factors for residual back pain.In this study,the authors review advances in the definition of residual hac k pain in OVCF after surgery and related risk factors including injured vertebrae,bone density,fascia injury,intravertebral vacuum cleft,cement volume and distribution,surgical related factors including facet joint violation,hoping to provide a reference for clinical treatment.

关 键 词：骨质疏松性骨折 椎体成形术 椎体后凸成形术 疼痛 风险因素 

分 类 号：R687.3[医药卫生—骨科学]