摘要
目的观察经皮椎体后凸成形术(PKP)治疗多节段胸腰椎骨质疏松性椎体压缩骨折的疗效。方法回顾性分析自2014-03—2016-01采用PKP治疗的30例多节段胸腰椎骨质疏松性椎体压缩骨折。记录骨水泥注入总量,观察术后并发症发生情况,比较术前、术后1 d、末次随访时VAS评分、ODI指数、Cobb角。结果 30例(67椎)骨水泥注入总量为364.5 ml,单个椎体骨水泥注入量为(5.44±0.78)ml。术后4个椎体出现骨水泥渗漏(渗漏率5.97%),椎间隙渗漏1例,椎旁渗漏3例。30例获得6~8(7.05±0.85)个月随访。末次随访时1例相邻节段椎体骨折,再骨折率为3.3%。术后1 d VAS评分、ODI指数明显低于术前,且末次随访时VAS评分、ODI指数低于术后1 d,差异有统计学意义(P<0.05)。术后1 d Cobb角小于术前,末次随访时Cobb角大于术后1 d,差异有统计学意义(P<0.05);但末次随访与术前Cobb角比较差异无统计学意义(P>0.05)。结论 PKP是治疗多节段胸腰椎骨质疏松性椎体压缩骨折的有效方法,其短期疗效明显。
Objective To probe into the clinical effect of percutaneous kyphoplasty （PKP） for treatment of multi-segment thoraeolumbar osteoporotic vertebral compression fractures. Methods A retrospective review of 30 patients with multisegment thoracolumbar osteoporotie vertebral compression fractures who underwent PKP from March 2014 to January 2016 was conducted. Total bone cement amount was recorded and postoperative complications were observed. VAS score, ODI index and Cobb＇s angle before and 1 d after operation and at last follow-up visit were compared. Results The injected total bone cement amount in 30 patients was 364.5 ml, and single vertebral bone cement amount was （5.44±0.78）ml. Postoperative X-ray reexamination found bone cement leakage in 4 cases （leakage rate was 5.97%）, including 1 case of intervertebral space leakage ＇rand 3 cases of paravertebral leakage. All patients received follow-up visits of 6-8（7.05±0.85） months. During the last follow-up visit, one case of adjacent segment fracture was observed with a refraeture rate of 3.3%. VAS score and ODI index of 1 d after operation were significantly lower than preoperative results, and VAS score and ODI index of last follow-up visit were lower than 1 d after operation, which the differences were statistically significant （P 〈0.05）. Cobb＇s angle of ld after operation was smaller than preoperative result, and Cobb＇s angle of last follow-up visit was larger than 1 d after operation, the differences were statistically significant （P 〈0.05）; while no statistical significance was observed in Cobb＇s angle between last follow-up visit and preoperative results （P 〉0.05）. Conclusion PKP is an effective therapeutic method for multi-segment thoracolumbar osteoporotie vertebral compression fractures and the short-term curative effect is obvious.
出处
《中国骨与关节损伤杂志》
2017年第5期468-470,共3页
Chinese Journal of Bone and Joint Injury
关键词
胸腰椎
骨质疏松椎体压缩骨折
多节段
经皮椎体后凸成形术
Thoracolumbar vertebra
Osteoporotic vertebral compression fracture
Multi-segment
Pereutaneous kyphoplasty
