球囊扩张椎体后凸成形术后继发相邻节段椎体骨折的危险因素分析
发布时间：2018-10-05 14:10
【摘要】：目的分析骨质疏松性椎体压缩骨折球囊扩张椎体后凸成形(PKP)术后继发相邻节段椎体骨折的危险因素。方法选取2006-03—2013-07在本院行PKP治疗并获得1年以上随访,且自愿参与课题的135例骨质疏松性椎体压缩骨折患者作为研究对象。根据随访结果有无出现继发相邻节段椎体新鲜骨折,将研究对象分为骨折组(28例)和对照组(107例)。观察记录2组性别、年龄、BMI指数、骨密度、术前伤椎个数、手术前后Cobb角,以及骨水泥量、骨水泥注射方法(单或双侧注射)、有无骨水泥渗漏、伤椎前缘高度恢复程度。结果多因素Logistic回归分析结果发现低BMI指数、低骨密度、伤椎个数多、骨水泥发生渗漏是引起PKP术后继发相邻节段椎体再骨折的危险因素,差异有统计学意义(P0.05)。其中低骨密度和骨水泥渗漏是最主要的危险因素。结论低骨密度和骨水泥渗漏是引起骨质疏松性椎体压缩骨折PKP术后继发相邻节段椎体骨折的主要危险因素,完善术前准备和坚持抗骨质疏松治疗是主要预防措施。
[Abstract]:Objective to analyze the risk factors of secondary adjacent vertebral body fracture after (PKP) with balloon dilation of osteoporotic vertebral body compression fracture. Methods 135 patients with osteoporotic vertebral compression fractures who received PKP treatment in our hospital from March to July 2006 and who had been followed up for more than one year were selected as the study objects. According to the results of follow-up, the subjects were divided into two groups: fracture group (n = 28) and control group (n = 107). Sex, age and BMI index, bone mineral density (BMD), the number of injured vertebrae before and after operation, the Cobb angle before and after operation, the amount of bone cement, the method of cement injection (single or bilateral injection), the degree of bone cement leakage and the degree of recovery of the anterior edge height of the injured vertebrae were observed and recorded. Results the results of multivariate Logistic regression analysis showed that low BMI index, low bone density, large number of injured vertebrae, bone cement leakage were the risk factors of secondary adjacent vertebral body refracture after PKP, the difference was statistically significant (P0.05). Low bone mineral density and bone cement leakage are the main risk factors. Conclusion low bone mineral density and cement leakage are the main risk factors for the secondary adjacent vertebral body fracture after PKP. The main preventive measures are to perfect preoperative preparation and adhere to anti-osteoporosis treatment.
【作者单位】： 深圳市宝安区福永人民医院骨科;
【基金】：深圳市宝安区科技计划项目(2012111)
【分类号】：R687.3
[Abstract]:Objective to analyze the risk factors of secondary adjacent vertebral body fracture after (PKP) with balloon dilation of osteoporotic vertebral body compression fracture. Methods 135 patients with osteoporotic vertebral compression fractures who received PKP treatment in our hospital from March to July 2006 and who had been followed up for more than one year were selected as the study objects. According to the results of follow-up, the subjects were divided into two groups: fracture group (n = 28) and control group (n = 107). Sex, age and BMI index, bone mineral density (BMD), the number of injured vertebrae before and after operation, the Cobb angle before and after operation, the amount of bone cement, the method of cement injection (single or bilateral injection), the degree of bone cement leakage and the degree of recovery of the anterior edge height of the injured vertebrae were observed and recorded. Results the results of multivariate Logistic regression analysis showed that low BMI index, low bone density, large number of injured vertebrae, bone cement leakage were the risk factors of secondary adjacent vertebral body refracture after PKP, the difference was statistically significant (P0.05). Low bone mineral density and bone cement leakage are the main risk factors. Conclusion low bone mineral density and cement leakage are the main risk factors for the secondary adjacent vertebral body fracture after PKP. The main preventive measures are to perfect preoperative preparation and adhere to anti-osteoporosis treatment.
【作者单位】： 深圳市宝安区福永人民医院骨科;
【基金】：深圳市宝安区科技计划项目(2012111)
【分类号】：R687.3
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