经皮椎体成形术治疗高龄重度椎体压缩性骨折

目的评估经皮椎体成形术治疗高龄、重度椎体压缩性骨折的疗效.方法回顾性分析16例存在顽固性腰背部疼痛,生活自理能力严重受挫,平均年龄72.5岁,平均病史19个月,受累椎体压缩程度平均为74.1%的椎体压缩性骨折患者的临床资料.结果采用经皮椎体成形术治疗16例19节椎体压缩性骨折均获得成功,无任何并发症,注射骨水泥3.5～7 ml.3例患者术后疼痛完全缓解,11例明显缓解,2例有所改善.疼痛评分和自理生活能力评分术后均显著下降(P＜0.001).结论应用经皮椎体成形术可以明显改善高龄、重度、慢性椎体压缩性骨折患者的症状和生活状态.

Treatment of severe vertebral compressive fractures in the elderly with percutaneous vertebroplasty

Objective To evaluate the efficacy of treating severe and chronic vertebral compressive fractures in the elderly with percutaneous vertebroplasty. Methods Sixteen patients who suffered from severe back pain and whose daily living was badly affected were retrospectively reviewed. The average age was 72.5 years, the average disease history was 19 months, and the average compressive rate ofthe affected vertebral bodies was 74.1%. Results Nineteen affected compressive vertebral bodies in 16 cases were treated with percutaneous vertebroplasty. All the procedures were successful without any complication. After 3.5-7 ml of cement was injected into the lesions, complete relief was achieved in 3 cases, remarkable relief was achieved in 11 cases, and improvement was observed in 2 cases. The scores of 6-point Bahavioral Rating Scale and Activity of Daily Living(ADL)declined significantly after the treatment(P < 0.001). Conclusion Percutaneous vertebroplasty can significantly improve the symp-toms and quality of life in the elderly patients with severe and chronic vertebral compressive fractures.