摘要
Kümmell病是一种复杂的脊柱疾病,常表现为进行性脊柱后凸和顽固性腰背痛,严重影响生活质量。目前,该病保守治疗效果并不满意,经皮球囊扩张椎体后凸成形术或经皮椎体成形术已成为有明显疼痛而无神经症状的Kümmell病患者的首选治疗方法,但随访发现术后具有骨水泥移位的风险;对有脊髓压迫症状者是否适用存在争议,包括开放手术和微创手术等。Kümmell病治疗方法根据分期有所不同。本文将对该病治疗进展进行综述。
Kümmell’s disease, a complex spinal disease, is often characterized by progressive kyphosis and intractable low back pain,which seriously impacts the quality of life in the elderly. As the conservative treatments of Kümmell’s disease are not satisfied at present, the percutaneous kyphoplasty or percutaneous vertebroplasty is preferred to this disease with obvious pain without neurological symptoms, despite of the risk of bone cement displacement postoperatively. However, the treatment for that complicated spinal cord compression is controversial, including open surgery and minimally invasive surgery. The treatments of Kümmell’s disease should be varied according to different stages. This paper reviews the reseach progress in the treatment of Kümmell’s disease.
作者
钟世霄
陆声
李维朝
ZHONG Shi-xiao;LU Sheng;LI Wei-chao(College of Medicine,Kunming University of Science and Technology,Kunming 650500,China;Department of Orthopedic Surgery,The First People's Hospital of Yunnan Province,Kunming 650032,China)
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2023年第1期48-52,共5页
Orthopedic Journal of China
基金
国家自然科学基金项目(编号:81860240)
云南省重大科技专项计划(编号:202102AA310042)
云南省高层次卫生技术后备人才项目(编号:H-2018100)
云南省临床医学研究中心重点开放项目(编号:2022YJZX-GK02)
云南省第一人民医院临床医学中心开放项目(编号:2021LCZXXF-CS02)。
关键词
Kümmell病
微创手术
骨质疏松
治疗
Kümmell’s disease
minimally invasive surgery
osteoporosis
treatment
