| 经皮椎体成形术或椎体后凸成形术治疗多节段老年骨质疏松性脊柱骨折 |
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| 引用本文： | 田华科,王建.经皮椎体成形术或椎体后凸成形术治疗多节段老年骨质疏松性脊柱骨折[J].创伤外科杂志,2008,10(3):237-240. |
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| 作者姓名： | 田华科 王建 |
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| 作者单位： | 第三军医大学新桥医院骨科,重庆,400037 |
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| 摘 要： | 目的 探讨经皮椎体成形术、椎体后凸成形术治疗多节段老年骨质疏松性脊柱压缩骨折的疗效.方法 根据影像学特点,对13例老年骨质疏松性多节段脊柱压缩骨折选择性进行单侧经皮椎体成形术或球囊扩张椎体后凸成形术.年龄54～83岁;其中2个椎体压缩8例,3个椎体压缩4例,4个椎体压缩1例.结果 13例在术后腰背部疼痛基本消失,24小时后均离床活动,患者的视觉模拟评分(VAS)由术前(8.3±1.5)分降至术后(2.5±1.2)分,手术前后差异有统计学意义(P<0.01),椎体高度恢复明显,Cobb角平均矫正10.17°.术后随访6～12个月,腰背痛无复发.结论 对多节段老年骨质疏松性脊柱骨折的患者,根据影像学特点选择经皮椎体成形术、球囊扩张椎体后凸成形术治疗能取得满意的疗效.
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| 关 键 词： | 椎体成形术 脊柱骨折 骨质疏松 老年 经皮椎体成形术 椎体后凸成形术 术治疗 多节段 老年 骨质疏松性 脊柱骨折 percutaneous vertebroplasty osteoporosis elderly patients fracture spinal 选择性 复发 腰背痛 术后随访 矫正 复明 椎体高度 统计学意义 |
| 文章编号： | 1009-4237(2008)03-0237-04 |
| 修稿时间： | 2007年9月29日 |
Treatment of multi-vertebral spinal fracture in elderly patients with osteoporosis by percutaneous vertebroplasty and percutaneous kyphoplasty |
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| TIAN Hua-ke,WANG Jian.Treatment of multi-vertebral spinal fracture in elderly patients with osteoporosis by percutaneous vertebroplasty and percutaneous kyphoplasty[J].Journal of Traumatic Surgery,2008,10(3):237-240. |
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| Authors: | TIAN Hua-ke WANG Jian |
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| Institution: | TIAN Hua-ke,WANG Jian(Department of Orthopedics,Xinqiao Hospital,Third Military Medical University,Chongqing 400037,China) |
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| Abstract: | Objective To evaluate the effect of percutaneous vertebroplasty and percutaneous kyphoplasty in the treatment of compression fracture of multi-vertebra in elderly patients with osteoporosis.Methods The clinical history of 13 elderly patients,aged 54 to 83 years,of spine suffering from compression fracture of the vertebrae,were retrospectively reviewed.Among them,8 patients suffered compressed fracture of 2 vertebrae,4 with fracture of 3 vertebrae,1 with fracture of 4 vertebrae.Each patient was treated selec... |
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| Keywords: | vertebroplasty spinal column fracture osteoporosis gerontism |
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