经皮椎体成形术治疗骨质疏松性椎体压缩性骨折

目的探讨经皮椎体成形术治疗骨质疏松性椎体压缩骨折的临床效果。方法自2004年1月至2004年9月采用经皮椎体成形术治疗骨质疏松性椎体压缩骨折患者21例,与同期保守治疗的19例患者进行对比研究。结果经皮椎体成形术组与保守治疗组相比,住院时间明显缩短,患者症状缓解较早,早期可开始下床活动(P<0.01),所有病例伤椎前缘高度恢复明显,经统计学分析差异有显著性(P<0.05),而后凸Cobb角矫正不明显,差异无统计学意义(P>0.05),随访6~12个月(平均8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,但要掌握其应用的适应证。

Treatment of Osteoporotic Vertebral Compression Fractures with Percutaneous Vertebroplasty

Objective To investigate the clinical outcomes in the treatment of Osteoporotic Vertebral Compression Fractures with Percutaneous Vertebroplasty(PVP).Methods The clinical results of a group of 21 patients,who had suffered from the Osteoporotic Vertebral Compression Fractures and treated with Percutaneous Vertebroplasty,were compared Fractures and treated with Percutaneous Vertebroplasty,were compared with another group of 19 patients treated by non-operative procedure.Results The duration of hospitalization,the time of pain remission and the out of bed activity were significantly reduced in the PVP.group as compared with those undergone non-operative procedure(P<0.01).On following up from six months to tweleve months,the anterior height of injured vertebral body of all patients were generally recovered obviously(P<0.05),and the Cobb angles were not rectified obviously(P>0.05).Conclusion The PVP is an effective procedure of simple microinjure,with less complication,wide indication and good outcome,and it is essential to master its indication meanwhile.