骨质疏松性骨折椎体成形术后邻近椎体继发骨折的治疗

目的探讨骨质疏松性骨折椎体成形术后邻近椎体继发性骨折，再次行椎体成形术的治疗方法和效果。方法对经行椎体成形术后邻近椎体继发骨折的13例21个椎体，再次行椎体成形术，术后予以卧床、配戴支具、抗骨质疏松治疗。结果再次行椎体成形术后，所有患者均缓解疼痛明显，X片及CT片复查见所有患椎骨水泥弥散良好。再次骨折治疗术后随访1～12个月，腰背部疼痛无反复，椎体高度无继续丢失。结论骨质疏松性骨折椎体成形术后邻近椎体继发性骨折，再次采用椎体成形术是一种确切、有效的治疗方法，同时需加强对再骨折患者的抗骨质疏松治疗。

Treatment on secondary fracture of nearby vertebrae after vertebra plasty in patients with osteoporotic fracture

Objective To discuss the method and effects of the second time vertebra plasty in patients with secondary fractures of nearby vertebrae after the first vertebra plasty for osteoporotic fracture. Methods Thirteen patients with twenty - one vertebrae of secondary fracture after the first vertebra plasty received the second time plasty. After the operation, they received bed rest and treatment on osteoporosis and wore orthosis. Results After the second time plasty, the patients＇pain were obviously relieved. X ray and CT films showed that the vertebrae cement dispersion was good. In the follow - up of 1 to 12 months after the operation, re - occurrence of pain in waist and back was not observed, and the vertebral height was not lost. Conclusion The second time vertebra plasty is an accurate and effective treatment on the secondary fracture of nearby vertebrae after the first time plasty. Meanwhile the treatment on osteoporosis should be strengthened.