经皮穿刺加压植入骨棒骨粉椎体成形治疗胸腰椎体压缩性骨折:恢复伤椎结构完整性和稳定性

发布时间：2018-11-29 09:59

【摘要】：背景:经皮穿刺椎体成形目前主要被应用于老年骨质疏松性压缩骨折的患者,而对于中青年椎体压缩骨折的患者,主要应用椎弓根螺钉内固定技术,但其存在创伤大、断钉、二次手术等问题。目的:观察经皮穿刺骨粉加压植入椎体成形修复胸腰椎体压缩性骨折的临床效果。方法:选取21例胸腰椎压缩性骨折患者,行经皮穿刺骨粉加压植入椎体成形,术前计算需植骨量,统计手术时间及出血量,观察患者治疗前后的疼痛程度、以及治疗前、后椎体高度比及Cobb角情况。结果与结论:(1)与治疗前比较,治疗后1 d及治疗后6个月疼痛目测类比评分显著降低(P0.05);(2)与治疗前比较,治疗后1 d及治疗后6个月伤椎前缘高度比显著增大(P0.05);(3)与治疗前比较,治疗后1 d及治疗后6个月椎体Cobb角度显著减小(P0.05);(4)手术时间平均为(52.0±12.3)min,术中出血量平均为(11.5±1.5)m L;(5)结果说明,经皮穿刺骨粉加压植入椎体成形可以有效地恢复伤椎前缘高度,消除伤椎内的空腔,恢复伤椎的结构完整性和稳定性;最大程度的保留脊柱的运动功能,是一种治疗胸腰段椎体骨折的有效的微创手术方法。
[Abstract]:Background: percutaneous vertebroplasty is currently mainly used in elderly patients with osteoporotic compression fractures, while for young and middle-aged patients with compression fractures, pedicle screw fixation is mainly used. Secondary surgery, etc. Objective: to observe the clinical effect of percutaneous compression bone powder implantation in the repair of thoracolumbar vertebral compression fracture. Methods: 21 patients with thoracolumbar vertebral compression fracture were treated with percutaneous puncture bone powder for vertebroplasty. The amount of bone graft, the time of operation and the amount of bleeding were calculated before and after treatment, and the degree of pain before and after treatment was observed. Posterior vertebral height ratio and Cobb angle. Results and conclusion: (1) compared with before treatment, visual analogue score of pain was significantly decreased at 1 day after treatment and 6 months after treatment (P0.05). (2) compared with before treatment, the anterior height ratio of injured vertebrae increased significantly 1 day after treatment and 6 months after treatment (P0.05); (3). Compared with before treatment, the Cobb angle of vertebral body decreased significantly 1 day after treatment and 6 months after treatment (P0.05). (4) the average operative time was (52.0 卤12.3) min, and the average blood loss was (11.5 卤1.5) m L;). (5) the results show that percutaneous compression bone powder implantation can effectively restore the anterior height of the injured vertebrae, eliminate the cavity in the injured vertebra, and restore the structural integrity and stability of the injured vertebra. Preserving the motor function of spine is an effective minimally invasive operation for thoracolumbar vertebral fracture.
【作者单位】：青岛市市立医院东院脊柱外科;
【分类号】：R687.3

【相似文献】