| 骨质疏松性椎体压缩骨折经皮穿刺球囊扩张后凸成形术后再骨折的相关因素研究 |
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| 作者姓名： | Zhou J Ma H Zou D Tan R Wang D Zheng R |
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| 作者单位： | 解放军军医进修学院;解放军306医院全军脊柱外科中心; |
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| 摘 要： | 目的探讨骨质疏松性椎体压缩骨折(osteoporotic vertebral compression fracture,OVCF)行经皮穿刺球囊扩张后凸成形术(percutaneous kyphoplasty,PKP)后出现椎体再骨折的相关因素。方法回顾性研究2002年12月-2008年5月行PKP治疗的84例胸腰椎OVCF患者临床资料。其中男11例,女73例;年龄55～90岁,平均70.1岁。术后84例均获随访,随访时间24～96个月,平均38个月。其中12例于术后3～52个月出现邻近和/或间隔椎体压缩性骨折;余72例均随访24个月以上,未出现再骨折。比较再骨折组和未发生再骨折(对照组)患者的临床资料,分析导致再骨折的相关因素。结果两组患者在性别、年龄、术中穿刺方式(单、双侧穿刺)、骨折节段数目(≤3个及>3个椎体)、单椎体骨水泥注入量、术后椎体高度压缩率、术后椎体后凸角以及术前骨密度方面比较,差异均无统计学意义(P>0.05);在骨水泥向椎间盘泄露方面比较,再骨折组显著高于对照组,差异有统计学意义(χ2=5.294,P=0.032)。结论骨水泥向椎间盘泄露是PKP术后出现其他椎体再骨折的相关因素。
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| 关 键 词： | 经皮穿刺球囊扩张后凸成形术 骨质疏松性椎体压缩骨折 再骨折 |
Correlative factors of secondary fracture after percutaneous kyphoplasty for osteoporotic vertebral compression fracture |
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| Zhou J,Ma H,Zou D,Tan R,Wang D,Zheng R.Correlative factors of secondary fracture after percutaneous kyphoplasty for osteoporotic vertebral compression fracture[J].Chinese Journal of Reparative and Reconstructive Surgery,2011,25(10):1180-1183. |
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| Authors: | Zhou Jianwei Ma Huasong Zou Dewei Tan Rong Wang Dong Zheng Rui |
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| Institution: | ZHOU Jianwei1,MA Huasong2,ZOU Dewei2,TAN Rong2,WANG Dong2,ZHENG Rui2.1Chinese PLA Postgraduate Medical School,PLA General Hospital,Beijing,100853,P.R.China,2Spine Center of Chinese PLA,the 306th Hospital. |
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| Abstract: | Objective To analyse the correlative factors of secondary vertebral fracture after percutaneous kyphoplasty(PKP) in treatment of osteoporotic vertebral compression fracture(OVCF) at different levels(adjacent and/or nonadjacent levels).Methods Between December 2002 and May 2008,84 patients with OVCF were treated with PKP,and the clinical data were analysed retrospectively.There were 11 males and 73 females with an average age of 70.1 years(range,55-90 years).All patients were followed up 24-96 months(mean,38... |
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| Keywords: | Percutaneous kyphoplasty Osteoporotic vertebral compression fracture Secondary fracture |
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