[1]韩雷,全仁夫.后路短节段椎弓根螺钉内固定联合椎体成形术治疗Ⅲ期Kmmell病[J].中医正骨,2018,30(06):47-49.
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后路短节段椎弓根螺钉内固定联合椎体成形术治疗Ⅲ期Kümmell病()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第30卷
期数:
2018年06期
页码:
47-49
栏目:
kümmell病
出版日期:
2018-06-20

文章信息/Info

作者:
韩雷全仁夫
浙江省杭州市萧山区中医院,浙江 杭州 311201
关键词:
脊柱骨折 骨质疏松性骨折 骨折固定术 椎体成形术mmell病
文献标志码:
A
摘要:
目的:探讨后路短节段椎弓根螺钉内固定联合椎体成形术治疗Ⅲ期Kümmell病的临床疗效和安全性。方法:2012年1月至2015年1月,采用后路短节段椎弓根螺钉内固定联合椎体成形术治疗Ⅲ期Kümmell病患者18例,其中男7例、女11例; 年龄56~72岁,中位数66岁; 病变节段位于T114例、T127例,L15例,L22例。病程3~48个月,中位数32个月。分别在术前、术后1周及末次随访时,采用视觉模拟量表(visual analogue scale,VAS)评分和Oswestry功能障碍指数(Oswestry disability index,ODI)评价患者腰背部疼痛程度和脊柱功能,在X线片上测量病椎Cobb角观察脊柱后凸畸形情况。随访观察并发症发生情况。结果:18例患者均顺利完成手术,手术时间0.5~1.5 h,中位数1 h。均获随访,随访时间18~36个月,中位数28个月。患者腰背部疼痛VAS评分,术前(8.72±0.41)分,术后1周(2.32±0.72)分,末次随访时(2.92±0.51)分; ODI,术前(69.12±2.71)%,术后1周(21.72±3.14)%,末次随访时(24.15±2.74)%; 病椎Cobb角,术前18.87°±8.83°,术后1周8.92°±2.91°,末次随访时10.92°±3.24°。均无骨水泥渗漏、切口感染、邻椎骨折及椎弓根螺钉松动、断裂等并发症发生。结论:后路短节段椎弓根螺钉内固定联合椎体成形术治疗Ⅲ期Kümmell病,可缓解患者腰背部疼痛、改善脊柱功能、矫正脊柱后凸畸形,安全可靠。

参考文献/References:

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更新日期/Last Update: 2018-10-30