摘要
背景:Fabricpod是一种预防骨水泥渗漏的新式注射装置,应用Fabricpod行椎体成形术临床效果满意,能更有效防止骨水泥渗漏。但对于应用Fabric pod行椎体成形术后佩戴支具的临床效果还有争议。目的:评估应用Fabric pod行椎体后凸成形治疗骨质疏松性压缩骨折后佩戴支具的临床疗效。方法:纳入应用Fabric pod行椎体后凸成形治疗不伴神经损伤的骨质疏松性椎体压缩骨折患者30例共42个椎体,术后患者随机分为佩戴支具组(15例22椎)和对照组(15例20椎),对照组不佩戴支具。随访观察比较2组患者术后恢复到伤前活动水平的时间、目测类比评分、日常生活能力评分及影像学改变。术后随访3-18个月。结果与结论:(1)2组患者术后疼痛均明显缓解;(2)2组患者术后24 h目测类比评分及日常生活能力评分较术前显著改善(P<0.05),末次随访对照组目测类比评分及日常活动能力评分与术后24h差异有显著性意义(P<0.05),佩戴支具组末次随访目测类比评分及日常活动能力评分与术后24h差异无显著性意义(P>0.05),表明佩戴支具组疗效较好;(3)2组术后伤椎高度、Cobb角恢复满意,术后24h及末次随访时与术前比较差异有显著性意义(P <0.05),而术后2次随访间差异无显著性意义(P> 0.05);(4)佩戴支具组患者在术后(7.0±2.8) d恢复到伤前活动水平,对照组患者在术后(14.0±4.8) d恢复到伤前活动水平,差异有显著性意义(P <0.05);(5)随访期间佩戴支具组无相邻椎体压缩、无疼痛复发;对照组有4例患者出现相邻椎体压缩、疼痛复发;(6)结果表明,应用Fabricpod行椎体后凸成形术可显著缓解疼痛,有效恢复骨折椎体的高度,近期疗效满意;术后佩戴支具能促进患者恢复,缩短住院时间,获得更满意的修复效果。
BACKGROUND: Fabric pod is a novel device for preventing cement leakage, which applied in kyphoplasty can obtain satisfactory outcomes and effectively avoid cement leakage. However, the clinical efficacy of orthosis worn after fabric pod kyphoplasty remains controversial. OBJECTIVE: To assess the effect of thoracolumbar orthosis on osteoporotic compression fracture patients after fabric pod kyphoplasty. METHODS: Thirty patients (42 vertebrae) with osteoporotic vertebral compression fracture without neurologic injury undergoing fabric pod kyphoplasty were enrolled. The patients were randomized into wearing orthosis group (n=15, 22 vertebrae)) and control group (n=15, 20 vertebrae, without orthosis) after surgery. During the follow-up, the moving ability returned to preinjury level, Visual Analogue Scale scores, radiographic results and Activities of Daily Living scores were evaluated and compared. All patients were followed up for 3-18 months. RESULTS AND CONCLUSION:(1) All patients in both groups got significant pain relief after surgery.(2) The postoperative Visual Analogue Scale and Activities of Daily Living scores at postoperative 24 hours were significantly improved in both groups compared with the baseline (P < 0.05). In the control group, there was significant difference in the Visual Analogue Scale scores at the last follow-up compared with the 24 hours (P < 0.05). In the wearing orthosis group, the Visual Analogue Scale scores at the last follow-up showed no significant difference from the 24 hours (P > 0.05), indicating the good efficacy in the wearing orthosis group.(3) The height of injured vertebrae and Cobb angle in both groups at postoperative 24 hours and last follow-up showed significant difference compared with the baseline (P < 0.05), but there was no significant difference between postoperative 24 hours and last follow-up (P > 0.05).(4) The moving ability returned to preinjury level showed significant difference between wearing orthosis group (7.0±2.8) days, and control group (14.0±4.8) days
作者
强华
迟成
王国栋
闫辉
Qiang Hua;Chi Cheng;Wang Guodong;Yan Hui(Department of Orthopedics, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China)
出处
《中国组织工程研究》
CAS
北大核心
2019年第8期1172-1176,共5页
Chinese Journal of Tissue Engineering Research
