经皮椎体后凸成形术治疗老年椎体压缩性骨折术后椎体高度变化及临床疗效

发布时间：2018-03-21 06:00

本文选题：经皮椎体后凸成形术(PKP)　切入点：椎体高度　出处：《中国老年学杂志》2017年23期 　论文类型：期刊论文

【摘要】：目的观察经皮椎体后凸成形术(PKP)治疗单节段骨质疏松(OP)性椎体压缩骨折(OVCFs)术后椎体高度变化及临床疗效。方法单节段OVCFs患者56例(男24例,女32例)均行PKP治疗,术前及术后随访测量患椎椎体高度变化,应用视觉模拟评分(VAS)评估患者疼痛变化,以Oswestry功能障碍指数(ODI)评估术后功能恢复。结果行PKP后,术后各时间点随访结果显示椎体高度、Cobb角度、VAS、ODI同术前有显著性差异(P0.05)。患椎压缩率在术前与疼痛程度、功能恢复存在相关性(P0.05),术后1年内随访结果提示VAS与椎体压缩率无明显相关性(P0.05),术后半年内随访结果提示ODI与椎体压缩率无明显相关性(P0.05)。结论 PKP治疗OVCFs临床疗效显著,可纠正后凸畸形,增加脊柱稳定性,但术后伤椎高度存在丢失的风险。术后椎体高度的变化与疼痛及功能恢复无显著相关性,此变化对临床效果的影响在随访期间不明显。
[Abstract]:Objective to observe the changes of vertebral height and clinical effect after percutaneous kyphoplasty (PKP) in the treatment of single segmental osteoporosis (OPO) vertebral compression fracture. Methods 56 patients (24 males and 32 females) with single segmental OVCFs were treated with PKP. The changes of vertebral body height were measured before and after operation. The pain was evaluated by visual analogue score (VAS), and the postoperative functional recovery was evaluated by Oswestry dysfunction index (ODI). The results of follow-up at each time point after operation showed that there was a significant difference in vertebral height and Cobb angle between VASODI and preoperation (P 0.05). The compression ratio of the affected vertebrae was before operation and the degree of pain. There was no correlation between VAS and compression ratio of vertebral body in 1 year after operation, but no significant correlation between ODI and compression ratio of vertebral body in half a year after operation. Conclusion there is a significant clinical effect of PKP in the treatment of OVCFs, and there is no significant correlation between ODI and compression ratio of vertebral body in 6 months after operation. It can correct kyphosis and increase spinal stability, but there is a risk of loss of vertebral height after operation. There is no significant correlation between postoperative vertebral height change and pain and functional recovery, but the effect of this change on clinical effect is not obvious during follow-up.
【作者单位】：佳木斯大学附属第一医院骨外科;
【基金】：黑龙江省自然科学基金项目(H201359)
【分类号】：R687.3

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