经皮球囊扩张椎体后凸成形术术后再发椎体骨折的危险因素和防治策略

发布时间：2018-08-04 21:13

【摘要】：目的探讨骨质疏松性椎体骨折PKP术后再发椎体骨折的危险因素,并提出对应的防治策略。方法对2007-01-2013-01本院行经皮球囊扩张椎体后凸成形术(percutaneous kyphoplasty,PKP)治疗的425例骨质疏松性椎体骨折患者进行回顾性分析。患者分为再发椎体骨折组和未再发椎体骨折的对照组。对两组患者基本情况、影像学资料、手术相关因素以及抗骨质疏松治疗进行分析。研究各因素与再发椎体骨折的关系。结果再发椎体骨折组(18例)比对照组(407例)骨密度低,平均骨折椎体数多,局部后凸角度大,椎体平均注入骨水泥量多,抗骨质疏松治疗依从性差,上述差异均有统计学意义。而两组在年龄、性别方面差异无统计学意义。结论骨密度低、多椎体骨折、术后病椎后凸角度大、椎体注入骨水泥量多、抗骨质疏松治疗依从性差,都是再发椎体骨折的危险因素。针对上述危险因素进行干预,可以降低再发椎体骨折的风险。
[Abstract]:Objective to investigate the risk factors of recurrent vertebral fracture after PKP, and to put forward corresponding prevention and treatment strategies. Methods 425 cases of osteoporotic vertebral fracture treated by percutaneous balloon dilation vertebroplasty (percutaneous kyphoplasty) in our hospital from January to January, 2007 were retrospectively analyzed. The patients were divided into recurrent vertebral fracture group and control group without recurrent vertebral fracture. The basic condition, imaging data, operative factors and anti-osteoporosis treatment were analyzed. To study the relationship between various factors and recurrent vertebral body fracture. Results the bone mineral density (BMD) of the recurrent vertebral fracture group (18 cases) was lower than that of the control group (407 cases). There were significant differences in the number of vertebral bodies, the local kyphoid angle, the average amount of bone cement injected into the vertebral body and the poor compliance in the treatment of osteoporosis. There was no significant difference in age and sex between the two groups. Conclusion low bone mineral density, multiple vertebral body fracture, large kyphosis angle after operation, large amount of cement injected into the vertebral body and poor compliance against osteoporosis are all risk factors for recurrent vertebral body fracture. Intervention against these risk factors can reduce the risk of recurrent vertebral fracture.
【作者单位】：解放军第117医院骨科;
【分类号】：R687.3

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