经皮球囊扩张后凸成形术治疗老年椎体压缩骨折的随访研究

[目的]探讨经皮球囊扩张后凸成形术治疗老年骨质疏松性椎体压缩骨折的手术效果和患者术后的生活质量.[方法]采用经皮球囊扩张后凸成形术治疗老年椎体压缩骨折病例105例.测量术前、术后3d、术后3个月和随访结束时的椎体高度；术前、术后3d、术后3个月和随访结束时对患者腰痛行VAS评分,术前、术后3个月和随访结束时对患者进行ODI评分.[结果]91例患者获随访,随访时间13 ～ 50个月,平均33.2个月.患者术前椎体平均高度为(1.45 ±0.28) cm,术后3d复查X线片测量的椎体平均高度为(1.75 ±0.23) cm,术后3个月时椎体平均高度(1.75±0.23) cm,随访结束时患者椎体平均高度为(1.74±0.24) cm.术前VAS评分为(7.53±0.68),术后3d为(2.69 ±0.49),术后3个月为(1.02±0.33),随访结束时为(1.01±0.39).术前ODI评分为(77.85 ±3.53),术后3个月为(28.67 ±5.85),随访结束时为(21.33±3.47).术前、术后的椎体高度,VAS评分,ODI评分差别有统计学意义(P＜0.01).[结论]经皮球囊扩张后凸成形术治疗老年骨质疏松性椎体压缩骨折能部分恢复椎体高度,针对压缩骨折带来的腰痛有良好的治疗效果,明显改善了患者的生活质量.

Percutaneous kyphoplasty for treatment of vertebral compression fractures in the elderly patients:a follow-up study

[Objective]To investigate the effects of percutaneous bolloon kyphoplasty in the treatment of osteoporotic vertebral compression fractures and to assess the quality of life in the elderly patients after operation.[Method]Percutaneous balloon kyphoplasty was performed in 105 elderly patients with vertebral compression fractures.The clinical outcome and the quality of life were determined by use of vertebral height,visual analogue scale(VAS) and Oswestry disability index(ODI) before and after operation,and at final follow-up.[Result]Ninety-one patients were available for follow-up for 13-50 months(mean,33.2 month).The vertebral height was 1.45±0.28 cm,1.75±0.23 cm,1.75±0.23 cm,and 1.74±0.24 cm before,3 days and 3 months after operation,and at final follow-up,respectively.The VAS scores were 7.53±0.68,2.69±0.49,1.02±0.33 and 1.01±0.39 before,3 days and 3 months after operation,and at final follow-up.The ODI scores were 77.85±3.53,28.67±5.85 and 21.33±3.47 before and 3 months after operation,and at final follow-up.There were significant differences in vertebral height,VAS and ODI scores before and after operation.[Conclusion]Percutaneous balloon kyphoplasty can partially restore vertebral height,alleviate lumbar pain,and improve quality of life in the elderly patients with osteoporotic vertebral compression fractures.