经皮椎体后凸成形术治疗老年椎体后壁完整的重度骨质疏松性椎体压缩骨折的效果

目的 探讨经皮椎体后凸成形术(PKP)治疗老年椎体后壁完整的重度骨质疏松性椎体压缩骨折(OVCF)的临床效果.方法 回顾性分析2012年1月至2014年1月于本院诊治的47例(54个椎体)OVCF患者临床资料,所有患者均采用球囊扩张复位法进行PKP治疗,治疗后随访18～24个月.对比患者治疗前、后及末次随访时患椎高度、疼痛度评分(VAS)、局部Cobb角及健康调查评分(SF-36),观察临床治疗效果.结果 47例患者治疗前患椎平均高度为(8.4±1.3) mm、VAS评分为(7.9±1.8)分、局部Cobb角为(25.1±5.5)°、SF-36评分为(33.2±6.5)分;治疗后3d患椎平均高度为(12.8±1.9)mm、VAS评分为(2.3±1.1)分、局部Cobb角为(17.2±4.5)°、SF-36评分为(44.5±6.8)分;末次随访患椎平均高度为(12.3±2.1) mm、VAS评分为(2.4±1.3)分、局部Cobb角为(18.3±4.7)°、SF-36评分为(46.3±7.1)允治疗后3d及末次随访数据与治疗前比较差异均具有统计学意义(均P＜0.05),治疗后3d与末次随访数据比较差异无统计学意义(P＞0.05).结论 OVCF患者采用球囊扩张复位法行PKP治疗,安全性高,临床效果明显.

Percutaneous kyphoplasty severe for osteoporotic vertebral compressive fracture with complete vertebral posterior wall in the elderly

Objective To investigate the clinical effect of percutaneous kyphoplasty (PKP) in the treatment of severe osteoporotic vertebral compressive fracture (OVCF) in elderly patients with complete vertebral posterior wall.Methods The clinical data of 47 patients with OVCF (54 vertebrae) treated at our hospital from January,2012 to January,2014 were retrospectively analyzed.All the patients were treated by PKP using balloon dilatation and reduction method and were followed up 18-24 months after the treatment.The vertebral height,pain score (VAS),local Cobb angle,and health survey score (SF-36) were observed before and after the treatment;and the clinical therapeutic effect was observed.Results The vertebral height,VAS score,local Cobb angle,and SF-36 score were (8.4±1.3) mm,(7.9±1.8),(25.1±5.5) °,and (33.2±6.5) before the treatment,were (12.8±1.9) mm,(2.3±1.1),(17.2±4.5) °,and (44.5±6.8) 3 days after the treatment,and were (12.3±2.1) mm,(2.4±1.3),(18.3±4.7) °,and (46.3±7.1) at the last follow-up,with statistical differences between those 3 days after the treatment and at the last follow-up and those before the treatment (P ＜ 0.05) but no between those 3 days after the treatment and those at the last follow-up (P ＞ 0.05).Conclusions PKP by balloon dilatation and reduction method for patients with OVCF is safe and effective.