经皮椎体成形术治疗胸腰椎骨折

目的探讨经皮椎体成形术治疗胸腰椎椎体压缩性骨折的可行性及其价值。方法自 2 0 0 2年 3月～ 12月 ,采用经皮椎体成形术 ,治疗椎体压缩性骨折 2 6例 ,与同期保守治疗的 2 8例患者进行对比研究。结果经皮椎体成形组与保守治疗组相比 ,住院时间、住院费用明显减少 ,患者症状较早缓解 ,早期开始下床活动 (P <0 .0 1)所有病例伤椎前缘高度平均恢复至正常 80 %以上 ,随访 3～ 6个月后未见明显伤椎高度丢失。结论经皮椎体成形术是一种简单、微创、安全有效的治疗方法。

Treatment of thoracolumbar vertebrae fracture with percutaneous vertebroplasty

Objective To investigate whether the percutaneous vertebroplasty (PV) is practicable and its clinical superiority is existed. Methods The clinical results of a group of 26 patients, who had suffered from the osteoporotic thoracolumbar vertebrae fracture and treated with the percutaneous vertebroplasty, were compared with another group of 28 patients treated by non-operative procedure. Results The duration and cost of hospitalization, the time of pain remission and the out-of-bed activity were significantly reduced in the PV group as compared with those undergone non-operative procedure(p<0.01). On followed-up from three months to six months, the anterior height of the injured vertebral body of all patients were generally recovered up to 80% of the normal spinal, and there was no obvious loss of the spinal height of injured vertebrae. Conclusion The PV is an effective procedure of simple microinjure, with less complication, wide indication and good outcome.