摘要
[目的]研究并探讨体位复位联合单侧入路经皮椎体成形术治疗骨质疏松性椎体压缩骨折合并裂隙样变的临床效果。[方法]2016年1月~2017年12月,本科收治的骨质疏松性椎体压缩骨折合并裂隙样变患者49例,随机分为体位组25例、常规组24例,体位组采取体位复位联合单侧入路经皮椎体成形术治疗,常规组仅采取单侧入路经皮椎体成形术治疗。比较两组的卧床时间、住院时间、VAS评分、伤椎高度、后凸Cobb角和并发症发生率等。[结果]体位组术后卧床时间、住院时间均显著短于常规组,差异有统计学意义(P<0.05)。体位组在治疗后各个时间点的VAS评分均显著低于常规组,差异有统计学意义(P<0.05)。体位组的术后伤椎高度高于常规组(P<0.05),而后凸Cobb角小于常规组,差异有统计学意义(P<0.05)。体位组的总并发症发生率低于常规组,差异有统计学意义(P<0.05)。术后6个月,体位组的再骨折率显著低于常规组,差异有统计学意义(P<0.05)。[结论]在骨质疏松性椎体压缩骨折合并裂隙样变患者治疗时,采用体位复位联合单侧入路经皮椎体成形术,较单纯单侧入路经皮椎体成形术,可获得更满意的效果。
Objective broplasty for osteoporotic vertebral compression fractures complicated with intravertebral clefts. [Methods] From January 2016 to December 2017, 49 patients who were surgically treated for osteoporotic vertebral compression fracture complicated with intravertebral clefts in our department were randomly divided into the conventional group（n = 24） and the postural group（n = 25）.The former was treated only by unilateral percutaneous vertebroplasty, while the latter got postural reduction combined with unilateral percutaneous vertebroplasty. The bed rest, hospital stay, VAS score, height of injured vertebrae, kyphotic Cobb angle,and incidence of complications were compared between the two groups. [Results] The postural group had significantly shorter bed rest and hospital stay than the conventional group（P〈0.05）. In addition, the postural group proved considerably lower VAS score than the conventional group at all time points after operation（P〈0.05）. Furthermore, the postural group was measured statistically higher value of the height of injured vertebrae（P〈0.05）, while significantly less kyphotic Cobb angle than the conventional group（P〈0.05）. Moreover, the postural group proved significantly lower total incidence of complication than the conventional group（P〈0.05）. At 6 months after operation, the postural group had significantly lower incidence of refracture than the conventional group（P〈0.05）. [Conclusion] For osteoporotic vertebral compression fracture complicated with intravertebralclefts, the postural reduction combined with unilateral percutaneous vertebroplasty achieves significantly improved clinical outcome than the unilateral percutaneous vertebroplasty only.
作者
高艺萌
张会君
张杭州
GAO Yi-meng;ZHANG Hui-jun;ZHANG Hang-zhou(College of Postgraduate, Jinzhou Medical University, Jinzhou 121000, China;Department of Sports and Rehabilitation, Jinzhou Medical University, Jinzhou 121000, China;Department of Joint Surgery and Sports Medicine, The First Affiliated Hospital, Chinese Medical University, Shenyang 110001, Chin)
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2018年第8期716-719,共4页
Orthopedic Journal of China
关键词
骨质疏松性椎体压缩骨折
椎体内裂隙
经皮椎体成形术
体位复位
osteoporotic vertebral compression fracture, intravertebral clefts, percutaneous vertebroplasty, postural reduction
