骨折严重程度与经皮椎体成形术后伤椎压缩的相关性研究  

Correlation between Fracture Severity and Injured Vertebral Compression after Percutaneous Vertebroplasty

作　　者：李大刚[1] 郑景陆[1] 洪嘉祥 郑嘉辉 LI Dagang;ZHENG Jinglu;HONG Jiaxiang;ZHENG Jiahui(Zhongshan Hospital of Traditional Chinese Medicine,Zhongshan 528400,Guangdong China)

机构地区：[1]中山市中医院,广东中山528400

出　　处：《中国中医骨伤科杂志》2025年第2期55-60,共6页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：广东省医学科学技术研究基金项目(B2020193);中山市社会公益与基础研究项目(2023B1071)。

摘　　要：目的:观察骨折严重程度对骨质疏松性椎体压缩性骨折(OVCF)经皮椎体成形术(PVP)后伤椎压缩的影响。方法:回顾性筛选2013年10月至2023年7月行经皮椎体成形术治疗的骨质疏松性椎体压缩性骨折患者资料,随访时间为6个月至5年。根据术后伤椎压缩情况,分为A组(伤椎前缘压缩率<15%)及B组(伤椎前缘压缩率≥15%)。统计患者一般临床特征、影像学特点、手术因素及术后抗骨质疏松情况,先对这些项目进行单因素分析,再对有统计意义的项目进行Logistic回归分析。结果:共159例患者纳入研究,单因素分析结果显示,骨折严重程度及是否抗骨质疏松治疗与经皮椎体成形术后伤椎压缩存在相关性(P<0.05)。Logistic回归分析结果显示骨折严重程度与术后伤椎压缩显著相关(P<0.05),而是否抗骨质疏松治疗与术后伤椎压缩不相关(P>0.05)。结论:骨折严重程度与经皮椎体成形术后伤椎压缩显著相关,椎体骨折越严重,后期伤椎压缩率越高。Objective:To observe the effect of fracture severity on the compression of injured vertebrae after percutaneous vertebroplasty(PVP)for osteoporotic vertebral compression fractures(OVCF).Methods:The data of patients with OVCF who underwent PVP from October 2013 to July 2023 were retrospectively screened,and the follow-up time was 6 months to 5 years.According to the postoperative compression of the injured vertebrae,the patients were divided into group A(recompression rate of the anterior edge of the injured vertebrae<15%)and group B(recompression rate of the anterior edge of the injured vertebrae≥15%).The general clinical characteristics,imaging characteristics,surgical factors and postoperative anti-osteoporosis status of the patients were analyzed.Univariate analysis was performed on these items,and then Logistic regression analysis was performed on statistically significant items.Results:A total of 159 patients were included in the study.The results of univariate analysis showed that the severity of fracture and anti-osteoporosis treatment were related to the compression of injured vertebrae after PVP(P<0.05).Logistic regression analysis showed that fracture severity was significantly correlated with postoperative vertebral compression(P<0.05),while anti-osteoporosis treatment was not significantly correlated with postoperative vertebral compression(P>0.05).Conclusion:The fracture severity is significantly correlated with the compression of the injured vertebra after PVP.The more severe the vertebral fracture,the higher the compression rate of the injured vertebra.

关 键 词：骨质疏松 脊柱骨折 经皮椎体成形术 再压缩 

分 类 号：R68[医药卫生—骨科学]