球囊扩张椎体后凸成形术治疗骨质疏松性椎体压缩骨折

目的:探讨球囊扩张椎体后凸成形术治疗骨质疏松性压缩骨折的疗效和安全性.方法:2006年6月至2009年8月采用球囊扩张椎体后凸成形术治疗26例骨质疏松性椎体压缩骨折,男10例,女16例;年龄59～78岁,平均70岁.T114椎、T1210椎、L112椎、L23椎、L41椎.观察椎体高度恢复、患者疼痛视觉模拟评分及并发症情况.结果:本组26例术后疼痛均得到有效控制,VAS评分由术前的平均(8.6±0.2)分下降为(2.0±0.3)分;手术前后椎体前缘高度分别为(18.34±3.25) mm和(20.51±1.34) mm(P＜0.05),中线高度分别为(14.36±2.56) mm和(19.66±1.28) mm(P＜0.05).未发生骨水泥渗漏到椎管现象.结论:球囊扩张椎体后凸成形术治疗骨质疏松性压缩骨折可有效恢复椎体的高度,缓解疼痛,改善患者的脊柱功能.

Treatment of osteoporotic vertebral compression fractures by ballon kyphoplasty

Objective: To explore the clinical efficacy and safety of bolloon kyphoplasty for the aged osteoporotic vertebral compression fractures. Methods: From June 2006 to August 2009,balloon kyphoplasty was performed on 26 patients (30 vertebral bodies),who presented painful vertebral compression fractures. They were 10 males and 16 femals,with an average age of 70 years ranging from 59 to 78 years. The operative segments were 4 cases in T₁₁ vertebraes,T₁₂ in 10,L₁ in 12,L₂ in 3,L₄ in 1. The reduction of compressed vertebrae was displayed by X-ray,and the patients were followed up by observation of the visual analog scale and complications. Results: All cases had rapid,significant and sustained improvements in postoperative pain following balloon kyphoplasty. Visual analog scale was reduced from(8.6±0.2) to (2.0±0.3) points. The anterior and midline vertebral body heights in 30 fractured vertebral bodies increased from pre-operative(18.34±3.25) mm,(14.36±2.56) mm up to pro-operative(20.51±1.34) mm,(19.66±1.28) mm(P<0.05)respectively. No severe leakage occured. Conclusion: Balloon kyphoplasty in treatment of osteoporotic vertebral compression fractures can restore the height of fractured vertebra,relieve pain and improve the spinal function with satisfactory clinical outcomes.