| 应用Jack椎体扩张器行后凸成形术治疗骨质疏松性胸腰椎压缩骨折 |
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| 引用本文： | 殷国勇,张子韬,张 宁,吴乃庆. 应用Jack椎体扩张器行后凸成形术治疗骨质疏松性胸腰椎压缩骨折[J]. 中国脊柱脊髓杂志, 2010, 20(9): 711-715. DOI: 10.3969/j.issn.1004-406X.2010.09.03 |
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| 作者姓名： | 殷国勇 张子韬 张 宁 吴乃庆 |
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| 作者单位： | 南京医科大学第一附属医院脊往外科,210029,南京市 |
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| 基金项目： | 江苏省人事厅"六大人才高峰"资助项目 |
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| 摘 要： | 目的:探讨应用Jack椎体扩张器行后椎体凸成形术治疗骨质疏松性胸腰椎压缩骨折的临床疗效。方法:根据胸腰椎椎弓根解剖特点自行设计了Jack椎体扩张器,并于2006年10月至2010年2月应用其行椎体后凸成形术治疗骨质疏松性胸腰椎压缩骨折患者71例共71个椎体,男19例,女52例;年龄48～82岁。T113例,T1222例,L123例,L216例,L35例,L42例。分别在术前、术后1周及术后3个月对患者进行疼痛VAS评分、Oswestry功能障碍指数(ODI)评定,在X线片上测量椎体前缘、中部高度及Cobb角。结果:所有病例均顺利完成手术,2例椎体侧方有少量骨水泥渗漏,无其他术中并发症发生,术后腰背痛立即明显减轻。术前、术后1周和术后3个月时的VAS分别为7.9±0.7分、1.9±0.6分、2.0±0.6分;ODI分别为(73.9±11.3)%、(20.8±5.1)%、(21.5±5.2)%;骨折椎体前缘高度分别为19.3±3.0mm、25.6±3.1mm、25.5±3.2mm,中部高度分别为19.1±3.3mm、25.4±2.7mm、25.3±2.7mm,Cobb角分别为17.8°±4.9°、8.6°±4.9°、8.7°±5.0°,术后1周与术前比较均有统计学差异(P0.01),术后3个月与术后1周比较均无统计学差异(P0.05)。结论:应用Jack椎体扩张器行椎体后凸成形术治疗骨质疏松性胸腰椎椎体压缩性骨折可以有效恢复骨折椎体前缘和中部高度,矫正畸形,有效缓解疼痛,改善功能,骨水泥渗漏发生率较低。
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| 关 键 词： | 胸腰椎压缩骨折 骨质疏松 后凸成形术 椎体扩张器 |
| 收稿时间： | 2010-08-09 |
| 修稿时间： | 2010-08-18 |
Jack dilator-kyphoplasty for osteoporosis thoracolumbar compression fractures |
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| YIN Guoyong,ZHANG Zitao,ZHANG Ning. Jack dilator-kyphoplasty for osteoporosis thoracolumbar compression fractures[J]. Chinese Journal of Spine and Spinal Cord, 2010, 20(9): 711-715. DOI: 10.3969/j.issn.1004-406X.2010.09.03 |
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| Authors: | YIN Guoyong ZHANG Zitao ZHANG Ning |
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| Affiliation: | YIN Guoyong,ZHANG Zitao,ZHANG Ning,et al Department of Spine Surgery,the First Affiliated Hospital of Nanjing Medical University,Nanjing,210029,China |
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| Abstract: | Objective:To investigate the clinical outcome of Jack dilator-kyphoplasty (DKP) for osteoporosis thoracolumbar compression fracture.Method:According to the anatomical measurement of the pedicles,a rectangular-shaped bone dilator was designed with the mechanism of expanding dilator head parallelly.71 vertebraes from 71 cases(19 males and 52 females,age range,48-82 years old) were received DKP from October 2006 to February 2010.The injured vertebrae included 3 in T11,22 in T12,23 in L1,16 in L2,5 in L3 and 2 ... |
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| Keywords: | Thoracolumber vertebral compression fracture Osteoporosis Kyphoplasty Vertebral dilator |
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