摘要
目的探讨经皮椎体后凸成形术(percutaneous kyphoplasty,PKP)对不同部位骨质疏松性椎体压缩性骨折(osteoporotic vertebral compression fracture,OVCF)患者脊柱-骨盆矢状面参数的矫正效果。方法回顾性分析2021年3月至2022年3月在北京中医药大学东直门医院接受PKP治疗的98例OVCF患者的临床资料,根据骨折部位的不同分为胸椎组(T1~T9)13例、胸腰椎组(T10~L2)69例、腰椎组(L3~L5)16例。另选取同期性别、年龄匹配的健康志愿者30例作为对照组。评估患者术前及术后6个月时的疼痛程度、Oswestry功能障碍指数(Oswestry disability index,ODI),通过影像学检查测量胸椎后凸角(thoracic kyphosis,TK)、腰椎前凸角(lumbar lordosis,LL)、骨盆倾斜角(pelvic tilt,PT)、骶骨倾斜角(sacral slope,SS)、骨盆入射角(pelvic incidence,PI)、脊柱骶骨角(spin-sacral angle,SSA)、局部矢状面Cobb角等脊柱-骨盆矢状面参数并进行组间比较。结果三组OVCF患者术前TK、PT、SS、SSA与对照组比较差异均有显著性(P<0.05)。组间两两比较显示,术前胸椎组、胸腰椎组的TK明显高于对照组(P<0.05),腰椎组的TK与对照组比较差异无显著性(P>0.05);胸腰椎组、腰椎组的PT明显高于对照组(P<0.05),胸椎组的PT与对照组比较差异无显著性(P>0.05);胸腰椎组的SS、SSA明显低于对照组(P<0.05),胸椎组、腰椎组的SS及SSA与对照组比较差异无显著性(P>0.05)。胸椎组手术前后的各脊柱-骨盆矢状面参数(TK、LL、PT、SS、PI、SSA、局部矢状面Cobb角)无显著变化(P>0.05)。与术前相比,胸腰椎组术后LL、SS、SSA明显增高,PT、局部矢状面Cobb角明显降低(P<0.05),而TK和PI与术前比较差异无显著性(P>0.05);腰椎组术后SSA和局部矢状面Cobb角明显增高(P<0.05),而TK、LL、PT、SS、PI与术前比较差异无显著性(P>0.05)。三组OVCF患者术后6个月时的疼痛程度、ODI均较术前明显降低(P<0.05),但组间比较差异均无显著性(P>0.05)。结�
Objective To investigate the correction effect of percutaneous kyphoplasty(PKP)on sagittal parameters of spine pelvis in patients with osteoporotic vertebral Compressibility fracture(OVCF)at different locations.Method The clinical data of 98 OVCF patients who received PKP treatment in Dongzhimen Hospital of Beijing University of Chinese Medicine from March 2021 to March 2022 were retrospectively analyzed.According to the different fracture sites,there were 13 cases in the thoracic spine group(T1-T9),69 cases in the thoracolumbar spine group(T10-L2),and 16 cases in the lumbar spine group(L3-L5).Another 30 healthy volunteers with gender and age matching were selected as the control group.The patient’s pain level,Oswestry disability index(ODI)were assessed before and 6 months after surgery,and the thoracic kyphosis(TK),lumbar lordosis(LL),pelvic tilt(PT),sacral slope(SS),pelvic incidence(PI)through imaging examination Spine pelvic sagittal parameters such as spine sacral angle(SSA)and local sagittal plane Cobb angle were measured and compared between groups.Result There were significant differences in preoperative TK,PT,SS,SSA between the three groups of OVCF patients(thoracic spine group,thoracolumbar spine group,lumbar spine group)and the control group(P<0.05).Pairwise comparison between groups showed that the TK of the thoracic and lumbar spine groups before surgery was significantly higher than that of the control group(P<0.05),while the TK of the lumbar spine group was similar to that of the control group(P>0.05).The PT of the thoracic and lumbar vertebrae groups was significantly higher than that of the control group(P<0.05),while the PT of the thoracic vertebrae group was similar to that of the control group(P>0.05).The SS and SSA levels in the thoracic and lumbar spine groups were significantly lower than those in the control group(P<0.05),while the SS and SSA levels in the thoracic and lumbar spine groups were similar to those in the control group(P>0.05).There was no significant change in the sagittal pa
作者
张陇豫
任敬佩
贾治伟
Zhang Longyu;Ren Jingpei;Jia Zhiwei(Department of Orthopedics and Traumatology,Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100007,China)
出处
《中国医刊》
CAS
2023年第9期970-974,共5页
Chinese Journal of Medicine
基金
国家自然科学基金(81601948)。
