摘要
目的分析单侧经后外上方入路椎体成形术治疗骨质疏松性椎体压缩性骨折的临床效果。方法选取2019年12月至2021年12月商丘市中心医院收治的52例骨质疏松性椎体压缩性骨折患者为研究对象,按随机数字表法分为对照组和观察组,每组26例。对照组予以双侧经椎弓根入路椎体成形术,观察组予以单侧经后外上方入路椎体成形术。比较两组围术期情况、Cobb角、椎体高度、视觉模拟疼痛量表(VAS)评分、Oswestry功能障碍指数(ODI)评分。结果观察组手术时间较对照组短,X线透视次数较对照组少,差异有统计学意义(P<0.05)。两组骨水泥注入量比较,差异未见统计学意义(P>0.05)。术前、术后1年,两组Cobb角、椎体高度比较,差异未见统计学意义(P>0.05);两组术后1年Cobb角、椎体高度改善均优于术前(P<0.05)。术前、术后1年,两组VAS、ODI评分比较,差异未见统计学意义(P>0.05);两组术后1年VAS、ODI评分均低于术前(P<0.05)。结论治疗骨质疏松性椎体压缩性骨折患者,单侧经后外上方入和双侧经椎弓根入路均可改善功能和减轻疼痛,但单侧经后外上方入路椎体成形术可缩短手术时间,减少X线透视次数。
Objective To analyze the clinical effect of unilateral vertebroplasty through posterior external and upper approach on osteoporotic vertebral compression fracture.Methods A total of 52 patients with osteoporotic vertebral compression fracture in Shangqiu Central Hospital from December 2019 to December 2021 were selected and divided into observation group and control group according to random number table method,with 26 cases in each group.The control group was treated with bilateral vertebroplasty through transpedicular approach and the observation group was treated with unilateral vertebroplasty through posterior external and upper approach.The perioperative conditions,Cobb Angle,vertebral height,Visual Analog Pain Scale(VAS)score and Oswestry Disability Index(ODI)scores were compared between the two groups.Results The operation time of the observation group was shorter than that of the control group,and the number of X-ray fluoroscopy was less than that of the control group(P<0.05).There was no significant difference in bone cement injection amount between the two groups(P>0.05).There were no significant differences in Cobb angle or vertebral height between the two groups before surgery and 1 year after surgery(P>0.05).The improvement of Cobb Angle and vertebral height in both groups was better than those before surgery(P<0.05).There were no significant differences in VAS or ODI scores between the two groups before surgery and 1 year after surgery(P>0.05).The VAS and ODI scores in the two groups were lower than those before surgery(P<0.05).Conclusions In the treatment of osteoporotic vertebral compression fractures,both unilateral and bilateral transpedicle approaches can improve function and reduce pain,but unilateral posterior transpedicle approach vertebroplasty can shorten the operation time and reduce the number of fluoroscopy.
作者
齐德重
张伟涛
Qi Dezhong;Zhang Weitao(Department of Orthopaedics,Shangqiu Central Hospital,Shangqiu 476000,China;Department of Orthopaedics,the Third People's Hospital of Shangqiu,Shangqiu 476000,China)
出处
《临床医学》
CAS
2023年第4期5-8,共4页
Clinical Medicine
关键词
骨质疏松性椎体压缩性骨折
椎体成形术
经后外上方入路
经椎弓根入路
Osteoporotic vertebral compression fracture
V ertebroplasty
Posterior extemnal upper approach
Transpedicle approach
