中国组织工程研究Issue(31)：4978-4982,5.DOI:10.3969/j.issn.2095-4344.2015.31.011
椎体成形修复严重椎体压缩性骨折的影像学评价
Vertebroplasty for severe vertebral compression fractures：imaging evaluation
史新乐 1陈宇翔 2刘菲 1赵小龙1
作者信息
- 1. 河北北方学院附属第一医院影像科，河北省张家口市 075000
- 2. 张家口第一医院超声科，河北省张家口市 075000
- 折叠
摘要
Abstract
BACKGROUND:Recent reports only concern vertebroplasty for mild to moderate vertebral compression fractures, but seldom address vertebroplasty for severe vertebral compression fractures such as vertebral colapse. OBJECTIVE:To evaluate the efficacy and imaging features of percutaneous vertebroplasty for severe vertebral compression fractures. METHODS:A total of 25 patients underwent single-level vertebroplasty for vertebral compression fractures. Imaging features were then analyzed including location, pattern of compression, extent of colapse, pre- and post kyphotic angle and adjacent disc height before and after vertebroplasty. RESULTS AND CONCLUSION:60% (16/25) patients involved the thoracolumbar junction. The height of colapsed vertebral body was 14%-30% of original vertebral body. The average height of colapse was 5.17 mm or 22% of original vertebral body. Kyphotic angle before vertebroplasty ranged from 0-33° (averagely 16°) with an average correction of 12° after vertebroplasty. Average disc height before vertebroplasty was 7.3 mm above and 7.7 mm below. Visual analogue scale score was significantly higher preoperatively than that postoperatively, showing significant difference in pain improvement (P< 0.015). These data suggest that percutaneous vertebroplasty is safe and effective in the treatment of single level severe vertebral compression fractures.关键词
植入物/脊柱植入物/椎体成形术/压缩性骨折/疼痛/计算机体层摄影术Key words
Vertebroplasty/Fractures, Compression/Pain分类
医药卫生引用本文复制引用
史新乐,陈宇翔,刘菲,赵小龙..椎体成形修复严重椎体压缩性骨折的影像学评价[J].中国组织工程研究,2015,(31):4978-4982,5.
