手法复位及治疗新鲜胸腰椎压缩性骨折

目的：探讨新鲜胸腰椎压缩性骨折的中西医结合微创治疗方法。方法：对26例（33椎）新鲜胸腰椎压缩性骨折病例进行回顾性分析,进行临床评价。结果：所有病例经过传统手法复位后给予（经皮椎体成形术,PVP）手术治疗,临床结果显示所有患者均安全完成治疗,椎体高度恢复情况良好,手法复位前骨折椎体前缘的平均高度为17.25±4.92mm,椎体成型术后为19.78±4.86mm,差值均数为1.86±1.76mm（P〈0.01）。能够迅速缓解疼痛,患者生活质量明显改善。术前患者的VAS评分平均为8.8±2.7分,术后第1天降至平均2.9±1.9分,随访2~16月,平均12月,除1例患者因其他疾病死亡外,其余患者均获得随访,末次随访VAS平均为2.7±2.9分,手术前后差异有显著性。结论：手法复位及经皮椎体成形术治疗新鲜胸腰椎压缩性骨折具有创伤小、疗程短、操作简单、疗效好、并发症少等优点,临床疗效满意。

Manipulative reduction and percutaneous vertebroplasty in the treatment of newly vertebrae compression fracture

Objective：To find out the clinical outcome of manipulative reduction and percutaneous vertebroplasty in the treatment of newly vertebrae compression fracture. Method.. Twenty--six patients with 33 vertebrae, suffered from compression fractures were treated with percutaneous vertebroplasty after manipulative reduction. All these data are retrospective analyzed and clinical evaluated. Results： All patients had been treated with manipulative reduction before percutaneous vertebroplasty. All cases were successfully experienced this procedure. No infection, neural deficits and embolism were seen after operation. The pan relief and daily functional recovery is significant. Most patient showed satisfaction with the results of this procedure. The height restoration were objective post--operation and maintained. Intervertebral space cement leakage were seen in 4cases（5vertebrae） and paraspinal space cement were seen in 1case （1vertebrae） respectively. Conclusion： manipulative reduction and percutaneous vertebroplasty are minimally invasive and can receive good clinical outcome in the treatment of newly vertebrae compression fracture.