椎体成形术后新发椎体骨折与脊柱矢状位参数的相关性分析

发布时间：2018-05-24 20:29

本文选题：骨质疏松 + 脊柱骨折　；参考：《重庆医学》2017年04期

【摘要】：目的骨质疏松性椎体压缩骨折经椎体成形治疗后新发骨折与脊柱矢状位参数的关系。方法选择2011年3月至2014年12月于该院脊柱外科行椎体成形术的胸腰椎骨质疏松性椎体压缩骨折患者80例,作为观察组。椎体成形术后摄脊柱全长正侧位X线片,记录患者的矢状位参数:骨盆指数(PI)、骶骨斜坡(SS)、骨盆倾斜角(PT),胸椎后凸角(TK)、腰椎前凸角(LL)、C7矢状位比值(C7/SFD),随访一年后,根据有无新发骨折分为两组,比较两组资料的指标差异,并分析椎体再次骨折的危险因素。结果随访一年后,新发椎体骨折12例;两组间性别、年龄、BMI、BMD、PI、TK、LL比较,差异均无统计学意义(P0.05),组间SS、PT、C7/SFD相比较,差异有统计学意义(P0.05);Logistic回归模型进行分析,SS、TK和C7/SFD是新发椎体骨折的危险因素。结论骨质疏松性椎体压缩骨折经过椎体成形术治疗后新发椎体压缩骨折与脊柱矢状位序列改变有关。
[Abstract]:Objective to study the relationship between the new fracture and the sagittal parameters of vertebral column after vertebroplasty treatment for osteoporotic vertebral compression fracture. Methods from March 2011 to December 2014, 80 patients with osteoporotic vertebral compression fracture of thoracolumbar vertebrae who underwent vertebroplasty in our hospital from March 2011 to December 2014 were selected as the observation group. After vertebroplasty, axial radiographs were taken to record the sagittal parameters of the patients: pelvic index (Pi), sacral Clivus (SSS), pelvic oblique angle (PTT), thoracic kyphoid angle (TKV), lumbar kyphosis (LLL) C 7 sagittal position ratio (C 7 / SFDD), and 1 year follow-up. According to the new fracture, we divided the two groups into two groups, and analyzed the risk factors of vertebral refracture. Results 12 cases of new vertebral body fracture were followed up for one year, there was no significant difference in sex, age and age between the two groups, there was no significant difference between the two groups (P 0.05), and there was no significant difference between the two groups in terms of SSPTT C7 / SFD. The difference was statistically significant (P 0.05) logistic regression model was used to analyze that TK and C7/SFD were the risk factors of new vertebral body fracture. Conclusion the new vertebral compression fracture after vertebroplasty is related to the sagittal sequence change of the vertebral column.
【作者单位】：承德医学院附属医院脊柱外科;
【分类号】：R687.3

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