中国组织工程研究与临床康复2011，Vol.15Issue(34)：6440-6444,5.DOI:10.3969/j.issn.1673-8225.2011.34.042
注射型磷酸钙人工骨椎体后凸成形固化治疗骨质疏松性胸腰椎压缩骨折
Treatment of osteoporotic vertebral compression fractures with percutaneous kyphoplasty by calcium phosphate cement
崔勇 1孟庆刚 1王鹏 1周晨亮 1郜克巍 1岳伟杰1
作者信息
- 1. 哈尔滨医科大学第四临床学院骨科,黑龙江省哈尔滨市,150001
- 折叠
摘要
Abstract
BACKGROUND: Injectable polymethylmethacrylate (PMMA) with percutaneous kyphoplasty can increase vertebral strength,stabilize vertebral body, relieve pain, but its histocompatibility is poor with no biodegradability, which is easy to cause adjacent orvertebral body denaturation, even fractures.OBJECTIVE: To observe the clinical effect of percutaneous kyphoplasty by calcium phosphate cement on osteoporoticvertebral compression fractures.METHODS: Twenty cases of osteoporotic vertebral compression fractures were selected from the Fourth Affiliated Hospital ofHarbin Medical University from 2007-12 to 2010-06. All cases were treated with injected calcium phosphate cement withpercutaneoue kyphoplasty by bilateral transpedicular balloon approach. Preoperative and postoperative visual analog scale(VAS) score, X-ray, Cobb’s angle, variation of vertebral body height were measured.RESULTS AND CONCLUSION: Average recovery height of the vertebral body was (3.38±1.44) mm (P ＜ 0.05). The Cobb’sangle average recovery was (7.63± 2.52)° (P ＜ 0.05). The restorations of kyphosis was (38.9±11.28)%. Preoperative VAS scorewas higher than that postoperative 3 days and 3 weeks (P ＜ 0.01). Percutaneous kyphoplasty with injected calcium phosphatecement can effectively relieve the pain and treat osteoporotic vertebral compression fractures.关键词
骨质疏松性椎体压缩骨折/经皮椎体后凸成形/磷酸钙/人工骨/骨水泥分类
基础医学引用本文复制引用
崔勇,孟庆刚,王鹏,周晨亮,郜克巍,岳伟杰..注射型磷酸钙人工骨椎体后凸成形固化治疗骨质疏松性胸腰椎压缩骨折[J].中国组织工程研究与临床康复,2011,15(34):6440-6444,5.
