摘要
目的根据临床及影像学评价椎体后凸成形术治疗骨质疏松椎体骨折临床疗效。方法 2013年1月至2016年1月,我院共对63例骨质疏松椎体压缩骨折行椎体后凸成形术,其中男性21例,女性42例,年龄60～85岁,平均70.6岁;伤椎共65个。对术前、术后第1天、术后3个月及末次随访时VAS、ODI评分及椎体前方高度进行评估。结果 63例患者获得术后随访,随访时间1～2年,平均随访16个月,术后第1天VAS及ODI评分较术前比较差异有统计学意义(P <0.01),这种变化一直维持到末次随访,椎体前方高度与术前相比差异有统计学意义(P <0.01),手术中没有出现神经损伤,3个椎体骨水泥外漏均未出现症状。结论椎体后凸成形术是治疗骨质疏松性椎体压缩骨折的安全及有效性方法。
Objective To analyze outcomes of Percutaneous kyphoplasty (PKP) for treatment osteoprotic vertebral compression fracture (OVCF) based on clinical and imageological evaluation. Methods Sixty-three patients who suffered OVCF were treated by PKP between January 2013 and January 2016. There were 21 males and 42 females with the average age of 70.6 years (60-85 years) and 65 fractured vertebrae. Visual analogue scale (VAS), Oswestry Disability Index (ODI) values and the vertebral anterior height were assessed before the operation, 1 day and three month after the operation,and at the final follow-up. Results 63 patients were followed up for an average of 16m (12-24 months). Significant improvements on the VAS and ODI were noted 1 day post-operatively (P <0.01), and these results were preserved at the final follow-up. The vertebral anterior height was restored (P <0.01), no neurological deterioration was found. Three vertebrae of cement leakages were all asymptomatic. Conclusion PKP is a safe and effective procedure for the treatment of OVCF.
作者
马刚
官常和
刘如春
MA Gang;GUAN Chang-he;LIU Ru-chun(Department of Orthopaedics,the General Hospital of Pangang Group,Panzhihua 617023,China)
出处
《中国医药指南》
2019年第10期35-36,共2页
Guide of China Medicine
