老年多节段脊柱骨折的分型和治疗

目的:提出一种老年多节段柱损伤的分类方法,以提高临床治疗水平。方法:按自行设计的分类方法进行分类,采用PVP治疗32例老年多节段脊柱骨折,相邻型29例,非相邻型3例。结果:术后48小时腰痛明显减轻可预期下床活动30例,症状改善但还不能下床活动者2例。无因骨水泥椎体外渗漏造成神经受压症状的患者。随访6个月~12个月,平均8个月,症状完全缓解(CR)30例,部分缓解(PR)2例,CR率93.75%,PR率6.25%,有效率100%。结论:在多节段脊柱骨折分型指导下采用PVP治疗老年多节段脊柱骨折是一种有效的方法。

A New Classification and Treatment of Multi-segmental Spinal Injuries in the Elderly

Objective:To develop a new classification of multi-segmental spinal injuries in the elderly to improve the clinical outcome. Methods: 32 cases of spinal injuries were treated by PVP,which had been classified by self-designed classification of functional spinal unit(FSU).According to the new classification,29 cases were contiguous spinal injuries and 3 cases were non-contiguous spinal injuries. Results: After operations,30 cases could get up and walk 2 days later while 2 cases could not get up and walk but their symptoms were mitigated.There were no cases with symptoms of pressing nerve from bone cementleakage.Follow-up ranged from 6 to 12 months.30 cases had complete remission (CR) and 2 cases partial remission (PR).CR rate was 93.75%.PR rate was 6.25%.The total effective rate was 100%. Conclusion: PVP for multi-segmental spinal injuries in the elderly is an efficacious method according to the new classification.