[1]刘美学,顾勇杰,孙韶华.经皮椎体后凸成形术治疗后壁破损的骨质疏松性椎体压缩骨折[J].中医正骨,2014,26(02):29-31.
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经皮椎体后凸成形术治疗后壁破损的骨质疏松性椎体压缩骨折()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第26卷
期数:
2014年02期
页码:
29-31
栏目:
临床报道
出版日期:
2014-02-20

文章信息/Info

作者:
刘美学1; 顾勇杰2; 孙韶华2
1.浙江中医药大学,浙江 杭州 310053;
2.浙江省宁波市第六医院,浙江 宁波 315040
关键词:
经皮椎体后凸成形术 骨质疏松 椎体压缩骨折
摘要:
目的:探讨经皮椎体后凸成形术治疗后壁破损的骨质疏松性椎体压缩骨折的可行性及临床疗效。方法:回顾性分析宁波六院脊柱外科采用经皮椎体后凸成形术治疗后壁破损的骨质疏松性椎体压缩骨折32例(37个椎体)患者的临床资料,其中女22例,男10例,年龄59～82岁,中位数69岁。致伤原因:跌伤18例,车祸伤6例,无明显外伤8例。手术节段:单椎体28例,两椎体3例,三椎体1例。术前CT示骨折线累及椎体后壁,部分骨块突入椎管。患者术前均无神经损伤症状。观察患者手术前后VAS评分改善、伤椎椎体前缘、中间的高度值恢复及并发症的发生情况。结果:32例患者均顺利完成手术,手术时间(42.5±16.2)min,骨水泥注入量(4.2±1.7)mL。骨水泥渗漏率为8.1%。末次随访时,伤椎椎体前缘的高度值由术前的(31.4±9.4)%恢复到(60.7±10.5)%、伤椎椎体中间的高度值由术前的(42.0±5.6)%恢复到(67.1±15.9)%、VAS评分由术前的(8.3±1.9)分降低到(2.9±2.2)分。结论:对于后壁破损的老年骨质疏松性椎体压缩骨折患者,只要术中操作得当,经皮椎体后凸成形术同样是一种安全有效的治疗手段。

参考文献/References:

[1] Ledlie JT,Renfro M.Balloon kyphoplasty:One-year outcomes in vertebral body height restoration,chronic pain,and activity levels[J].J Neurosurg,2003,98(S1):36-42.
[2] Taylor RS,Fritzell P,Taylor RJ.Balloon kyphoplasty in the management of vertebral compression fractures:an updated systematic review and meta-analysis[J].Eur Spine J,2007,16(8):1085-1100.
[3] Poynton AR.Point of view[J].Spine,2002,27(5):548.
[4] 杨惠林,牛国旗,王根林,等.椎体后凸成形术治疗周壁破损的骨质疏松性骨折[J].中华骨科杂志,2006,26(3):165-169.
[5] Kruger A,Zettl R,Ziring E,et al.Kyphoplasty for the treatment of incomplete osteoporotic burst fractures[J].Eur Spine J,2010,19(6):893-900.
[6] 杨炎,王根林,杨惠林,等.单侧与双侧椎体后凸成形术治疗骨质疏松性椎体压缩骨折[J].中国脊柱脊髓杂志,2011,21(6):480-484.
[7] Lee MJ,Dumonski M,Cahill P,et al.Percutaneous treatment of vertebral compression fractures:a meta-analysis of complications[J].Spine,2009,34(11):1228-1232.
[8] 张磊,杨惠林,王根林,等.椎体后凸成形术治疗骨质疏松性椎体压缩骨折的并发症及预防[J].中国脊柱脊髓杂志,2010,20(12):970-974.
[9] Baroud G,Crookshank M,Bohner M.High-viscosity cement significantly enhances uniformity of cement filling in vertebroplasty:an experimental model and study on cement leakage[J].Spine,2006,31(22):2562-2568.
[10] 王旭,陈继良,刘寿坤,等.椎体成形术治疗脊柱压缩性骨折并发骨水泥渗漏的防治[J].中华创伤杂志,2008,24(10):829-831.
[11] Barr JD,Barr MS,Lemley TJ,et al.Percutaneous vertebroplasty for pain relief and spinal stabilization[J].Spine,2000,25(8):923-928.
[12] Papadopoulos EC,Edobor-Osula F,Gardner MJ,et al.Unipedieular balloon kyphoplasty for the treatment of osteoporotic vertebral compression fractures:early results[J].J Spinal Disord Tech,2008,21(8):589-596.
[13] Steinmann J,Tingey CT,Cruz G,et al.Biomechanical comparison of unipedicular versus bipedicular kyphoplasty[J].Spine,2005,30(2):201-205.
[14] 陈柏龄,谢登辉,黎艺强,等.单侧PKP骨水泥注射过中线分布对压缩性骨折椎体两侧刚度的影响[J].中国脊柱脊髓杂志,2011,21(2):118-121.

更新日期/Last Update: 2014-02-20