摘要
目的评估单侧椎弓根穿刺椎体后凸成形术治疗高龄骨质疏松性椎体压缩骨折的临床效果。方法 2002年5月-2008年10月应用Kyphon球囊扩张系统行单侧椎弓根穿刺椎体后凸成形术治疗13例80岁以上的骨质疏松性椎体压缩骨折患者,男2例,女11例;年龄80～87岁,平均83.2岁。患者均有腰背部疼痛,共17个椎体骨折。随访观察患者的疼痛以及影像学改变情况。结果术后患者疼痛均明显缓解,术前VAS评分为(8.8±1.6)分,术后24h为(2.2±1.3)分,随访期末为(2.3±1.5)分,术前与术后24h比较差异有统计学意义(P<0.05),术后24h与随访期末比较差异无统计学意义(P>0.05);椎体前缘高度术前平均为14.60±1.25mm,术后244h为23.30±0.92mm,末次随访时为22.50±0.35mm;伤椎后凸角度术前平均为30.40±1.75°,术后24h为12.30±1.10°,末次随访时为13.51±0.50°。术后及末次随访时与术前比较有显著性差异(P<0.05)。结论单侧椎弓根穿刺椎体后凸成形术治疗高龄骨质疏松性椎体压缩骨折可显著缓解疼痛、有效恢复骨折椎体的高度,是一种安全有效的治疗方法。
Objective To assess the clinical and radiographical outcomes in treating Geriatric patients with osteoporotic compression fractures（OVCFs） by unipedicular Kyphoplasty.Methods 13 patients suffered from OVCFs were treated by single Kyphon via unipedicular approachment.13 patients with a total of 17 painful OVCFs were enroled in our study.Preoperative and postoperative of visual analogue scores（VAS） and radiographic results were compared.Results All patients got significant pain relief.VAS score improved from 8.8±1.6 points to 2.2±1.3 points before and after operation,and was 2.3±1.5 points at final follow-up.The height of anterior column of the vertebrae increased from 14.60±1.25 mm to 23.30±0.92 mm and was 22.50 ±0.35 mm at final follow-up.Conclusion Kyphoplasty can be performed via a unilateral pedicular approach in Geriatric patients with osteoporotic compression fractures.It is a safe and efficacious approach.
出处
《颈腰痛杂志》
2010年第4期263-265,共3页
The Journal of Cervicodynia and Lumbodynia
关键词
骨质疏松性椎体压缩骨折
后凸成形术
高龄患者
osteoporotic vertebral compression fracture
kyphoplasty
geriatric patients
