| 经皮椎体成形术治疗老年骨质疏松性椎体压缩骨折 |
| |
| 引用本文： | 马赵帮,吕建军,孙良业,吕波. 经皮椎体成形术治疗老年骨质疏松性椎体压缩骨折[J]. 临床骨科杂志, 2011, 14(6): 636-638 |
| |
| 作者姓名： | 马赵帮 吕建军 孙良业 吕波 |
| |
| 作者单位： | 安徽医科大学附属六安医院骨科,安徽,六安,237005 |
| |
| 摘 要： | 目的探讨在体位复位下经皮椎体成形术(PVP)治疗老年骨质疏松性椎体压缩骨折的近期临床疗效。方法体位复位下经皮穿刺单侧椎弓根入路治疗胸腰段骨折31例,对手术前后的疼痛视觉模拟评分(VAS)、Cobb角及活动能力评分(LAS)进行比较。结果 31例患者术后腰背部疼痛明显缓解或消失,VAS术前为(8.27±0.57)分,术后1 d为(1.80±0.78)分,术后6个月为(1.37±0.61)分(P<0.05);术后后凸畸形得到部分矫正,Cobb角术前为25°±4.4°,术后1 d为13°±3.1°,术后6个月为14°±3.2°(P<0.05);术后恢复日常活动,LAS术前为(3.4±0.5)分,术后1 d为(1.3±0.2)分,术后6个月为(1.2±0.1)分(P<0.05)。有3例骨水泥渗漏,未发生严重并发症。31例均获随访,时间6～24个月,疼痛及骨折无再发。结论 PVP结合体位复位是治疗新鲜的老年骨质疏松性胸腰段单椎体压缩骨折的有效微创技术,操作简便,能够迅速缓解疼痛,改善功能,部分矫正后凸畸形。
|
| 关 键 词： | 椎体成形术 单侧椎弓根 骨质疏松 胸腰椎骨折 体位复位 |
Treatment of spinal compressive fracture in aged patients with osteoporosis by percutaneous vertebroplasty |
| |
| MA Zhao-bang,L Jian-jun,SUN Liang-ye,L Bo. Treatment of spinal compressive fracture in aged patients with osteoporosis by percutaneous vertebroplasty[J]. Journal of Clinical Orthopaedics, 2011, 14(6): 636-638 |
| |
| Authors: | MA Zhao-bang L Jian-jun SUN Liang-ye L Bo |
| |
| Affiliation: | MA Zhao-bang,L(U) Jian-jun,SUN Liang-ye,L(U) Bo |
| |
| Abstract: | Objective To assess short-term efficacy of the combination of postural reduction and percutaneous vertebroplasty(PVP) in the treatment of compression fracture of vertebra in elderly patients with osteoporosis.Methods Under the combination of postural reduction and PVP,31 aged patients with compression fracture of thoracolumbar vertebra were reviewed via unilateral pedicle percutaneous puncture,the clinical effects were evaluated by observing the charges of visual analogue scale(VAS),the Cobb angle and locom... |
| |
| Keywords: | vertebroplasty unilateral pedicle osteoporosis thoracolumbar vertebral fractures postural reduction |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
|
