经皮椎体后凸成形术治疗后壁破裂的骨质疏松性椎体骨折

发布时间：2018-01-27 16:55

本文关键词： 椎体骨折骨质疏松椎体成形术　出处：《中国骨与关节损伤杂志》2015年03期 　论文类型：期刊论文

【摘要】：目的探讨经皮椎体后凸成形术(PKP)治疗后壁破裂的骨质疏松性椎体骨折的临床疗效。方法本组31例均CT证实为后壁破裂的椎体骨折,接受PKP手术,损伤节段为T11~T4共31个椎体。结果本组获得随访12~26个月,平均17个月。31例均成功实施手术,6例出现骨水泥渗漏,无经后壁向椎管内渗漏病例,疼痛视觉评分(VAS)评分,Oswestry功能障碍评分(ODI),椎体前、中柱高度,Cobb角,伤椎楔形角,在术前与术后2 d、末次随访时比较,差异有统计学意义(P0.05)。结论对于后壁破裂的骨质疏松性椎体骨折,PKP是一种可以选择的治疗方式。
[Abstract]:Objective to evaluate the clinical effect of percutaneous kyphoplasty (PKP) in the treatment of osteoporotic vertebral fracture with posterior wall rupture. PKP operation was performed with 31 vertebrae in T11T4. Results all the patients were followed up for 12 ~ 26 months (mean, 17 months, 31 cases), 6 cases had bone cement leakage. Without posterior wall leakage into the spinal canal, the pain visual score (VASS) score and Oswestry dysfunction score (Oswestry dysfunction score), the height of the middle column with Cobb angle, and the wedge angle of the injured vertebrae were found in the front of the vertebral body. The difference between preoperative and postoperative 2 days and last follow-up showed significant difference (P 0.05). Conclusion PKP is an alternative treatment for osteoporotic vertebral fracture with posterior wall rupture.
【作者单位】：安徽医科大学阜阳临床学院骨科;安徽医科大学第一附属医院;
【基金】：安徽省自然科学基金(1208085MH142)
【分类号】：R687.3
【正文快照】： 骨水泥向椎管内渗漏造成神经损伤的风险较大,很多学者认为是PVP及PKP手术的相对禁忌证[1-2],若因此采取卧床、支具外固定的方法则远期效果差、并发症多;而老年患者多合并内科基础疾病、心肺功能差,往往无法耐受开放内固定手术,因此,该类型骨折成为临床治疗的难点。本院自2008-

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