经皮椎体后凸成形术治疗骨质疏松性骨折26例

目的 探讨经皮椎体后凸成形术（PKP）治疗骨质疏松性骨折的临床效果和安全性。方法 回顾性分析2011年7月至2012年10月收治的26例接受PKP手术的患者，采用经皮穿刺双侧椎弓根入路，单枚球囊依次撑开压缩的椎体，每个椎体充填骨水泥平均4．2ml。结果 26例患者腰背部疼痛在术后24h缓解并下床活动，椎体高度基本恢复，后凸畸形平均矫正16°。随访6～14个月，患者均恢复伤前生活状况，无脊髓神经损伤、骨水泥漏、肺栓塞等并发症。结论 椎体后凸成形术能达到缓解疼痛、恢复椎体高度的目的 ，是治疗老年骨质疏松椎体压缩骨折的有效方法 。但必须熟练掌握椎体后凸成形术的经皮穿刺技术、骨水泥灌注技术及掌握手术适应证，才能保证这一技术的安全性。

Percutaneous kyphoplasty treatment of osteoporotic fracture 26 cases

Objective To investigate the clinical efficacy and safety of percutaneous kyphoplasty treatment of osteoporotic fractures in . Methods A retrospective analysis from July 2011 to October 2012, 26 patients underwent PKP admitted to surgery, the use of percutaneous bilateral pedicle into the road, followed by a single gold balloon compression distraction of the vertebral body, each vertebral bone cement filling the average 4. 2ml. Results Totally 26 patients with low back pain relief after surgery 24h and ambulation, basic vertebral height restoration, the average kyphosis correction of 16 °. Followed for 6 to 14 months, patients were pre - injury recovery living conditions, no spinal cord injury, bone cement leakage, pulmonary embolism and other complications. Conclusion Kyphoplasty can achieve pain relief, vertebral height restoration purposes, the treatment of osteoporotic vertebral compression fractures an effective manner. But must be familiar with the percutaneous kyphoplasty technique, bone cement perfusion technique and surgical indications, in order to ensure the safety of this technology.