椎弓根钉结合PKP治疗多发性骨质疏松性椎体骨折临床观察

目的观察椎弓根钉结合经皮椎体后凸成形术治疗多发性骨质疏松性椎体骨折的临床疗效。方法选择骨质疏松性椎体压缩性骨折患者13例,其中男4例11个椎体,女9例24个椎体;所有患者均有2个或以上椎体骨折,并且其中至少有1个椎体是爆裂性骨折,通过术前、术后1d疼痛视觉模拟评分（VAS）比较,观察临床疗效。结果所有患者术前VAS评分为（8.9±1.4）分,术后评分为（2.1±0.8）分,差异比较有统计学差异（P〈0.05）,术中骨水泥渗漏2例3个椎体。结论椎弓根钉结合PKP治疗多发性骨质疏松性椎体骨折的临床疗效良好,可迅速缓解腰背部疼痛,减少出血和手术时间。

The clinical investigation of the Pedicle screW combined Percutaneous vertebraPlasty for the treatment of osteoPorotic vertebral fracture

Objective To observe clinical effect of the pedicle screw combined percutaneous vertebraplasty for the treatment of osteoporotic vertebral fracture. Methods 13 patients with osteoporotic vertebral compression fractures,including11 male 4 cases of vertebral body,female 9 cases 24 vertebral body; all patients have two or more vertebral fractures,and at least one vertebral burst fracture. Through the preoperative and postoperative 1 d pain visual analog scale（ VAS）,observe clinical curative effect. Results All patients with preoperative VAS score was 8. 9 ± 1. 4 points,postoperative VAS score was2. 1 ± 0. 8 points,the differences were statistically significant（ P〈0. 05）,intraoperative bone cement leakage in 2 cases 3 vertebral body. Conclusion There is a significant effects of the pedicle screw combined percutaneous vertebraplasty for the treatment of osteoporotic vertebral fracture,can quickly relieve back pain,reduce bleeding and operation time.