摘要
目的探讨应用经皮椎体成形术（PVP）治疗高龄胸腰椎爆裂性骨折的可行性和疗效。方法自2007年12月～2010年12月应用PVP治疗高龄胸腰椎爆裂性骨折11例。结果本组获随访6～38个月，平均17．8个月。11例均顺利完成手术。1例89岁男性术后3个月因心肌梗塞死亡；余患者疼痛视觉模拟评分（VAS）由术前（7．9±1．4）分降至术后第7天（1．9±1．1）分fP〈0．01），末次随访为（2．1±1.3）分，与术前相比差异有统计学意义（P〈0．01），与术后第7天相比无差异（P〉0．05）。椎体前缘高度术前、术后第7天及末次随访分别为（13．2±1．3）ram、（13．1±1．5）ram和（12．7±1．3）mm（P〉0．05）。矢状面Cobb角术前、术后第7天及末次随访分别为（23．2±2．6）。、（23．1＋1．9）°及（24．2±1．8）°（P〉0．05）。结论PVP治疗高龄胸腰椎爆裂性骨折，手术刨伤小，术后止痛效果好，患者可早期下床活动，从而避免老年患者卧床常见的并发症，中远期随访效果可靠。
Objective To evaluate the feasibility and therapeutic effect of percutaneous vertebroplasty in treating thoracolumbar burst fracture in senile patient. Methods The clinical data of 11 senile cases of thoracolmnbar burst fracture from December 2007 to December 2010 were reviewed retrospectively. Results The mean followed-up period was 17.8 months（6~38 months）. The visual analogue scale of the left patients decreased from （7.9±1.4） score preoperatively to （1.9±1.1） score seven days postoperatively（P 〈0.01）, and then to （2.1±1.3） score at final follow-up. There was statistically significant difference between the preoperative score and the score at final follow-up. The mean height of the anterior vertebral body was （13.2±1.3）mm preoperatively, （13.1-＋1.5）mm seven days postoperatively and （12.7-＋1.3） mm at final follow-up respectively（P 〉0.05）. The sagittal Cobb angle was （23.2±2.6）°preoperatively, （23.1±1.9）° seven days postoperatively and （24.2±1.8）°at final follow-up respectively（P 〉0.05）. Conclusion Percutaneous vertebroplasty is feasible and effective for thoracolumbar burst fracture in senile patients, which is microtraumatie and can alleviate pain efficiently and allow the patients to mobilize early. It can avoid the postoperative complications for the senile patients during the bed ridden period with the reliable middle and long term efficacy.
出处
《中国骨与关节损伤杂志》
2011年第11期961-963,共3页
Chinese Journal of Bone and Joint Injury
关键词
高龄
胸腰椎
爆裂性骨折
椎体成形术
Senile
Thoracic and lumbar vertebrae
Burst fracture
Percutaneous vertebroplasty
