经皮椎体后凸成形术治疗骨质疏松性脊柱压缩骨折

目的探讨经皮椎体后凸成形术治疗骨质疏松性脊柱压缩骨折的临床疗效。方法15例骨质疏松性脊柱压缩骨折患者在C型臂X线机引导下行经皮椎体后凸成形术,观察术前、术后3天疼痛缓解情况和椎体高度恢复程度。结果所有手术顺利完成,术后疼痛明显缓解,VAS评分术后3天（2.6±0.3）较术前（7.8±0.1）明显下降（P〈0.05）,椎体前缘高度由术前的18.8±2.3 mm增加到术后的22.7±1.5 mm（P〈0.05）,未发生骨水泥渗漏、邻椎骨折等并发症。结论只要严格掌握适应症,手术精心操作,经皮椎体后凸成形术治疗老年骨质疏松性脊柱压缩骨折安全、有效。

Percutaneous Kyphoplasty Treated Osteoporotic Vertebral Compression Fractures

Objective To observe the efficacy of osteoporotic vertebral compression fractures treated by percutaneous kyphoplasty （ PKP ）. Methods 18 cases of osteoporotic vertebral compression fractures were treated by PKP under C - armed fluroscopy image guiding. The back pain relief situation and the degree of vertebral height restoration were observed before and after operation. Results All cases were treated successfully. Their back pain relieved significantly. Visual analogue scale （ VAS ） was significantly decreased from 7.8 ± 0.1 pre - opration to 2.6 ± 0.3 at 3 days after operation （ P 〈 0.05 ）. The height of anterior edge vertebral body was increased from 18.8 ＋2.3 mm pre - opration to 22.7 ± 1.5 mm after opration （ P 〈 0.05 ）. Complications such as neighbor vertebral fracture and bone cement leakage had not occurred in all patients. Conclusions Under strict selection and elaborate operation,PKP is a safe and effective method in treating osteoporotic vertebral compression fractures.