临床骨科杂志2016，Vol.19Issue(4)：434-435,436,3.DOI:10.3969/j.issn.1008-0287.2016.04.020
高黏度骨水泥治疗骨质疏松性椎体压缩骨折的疗效
The outcomes of high-viscosity bone cement in percutaneous vertebroplasty for treatment of osteoporotic vertebral compression fractures
摘要
Abstract
Objective To summarize the clinical, radiographic outcomes and complications of high-viscosity bone ce-ment in percutaneous vertebroplasty ( PVP) for treatment of osteoporotic vertebral compression fractures. Methods Sixty patients (98 vertebraes) of osteoporotic vertebral compression fractures were treated by PVP using high viscosity bone cement. These data were recorded, including back pain VAS, Oswestry disability index (ODI), rate of bone cement ( venous leakage, discoidal leakage, paravertebral leakage) , adjacent vertebral fracture. Results All of 60 patients were followed up for 3~6 (4. 2 ± 1. 4) years. The VAS reduced from 6~10 (8. 4 ± 1. 2) points preopera-tively to 0~3 (0. 7 ±0. 8)points at final follow-up (P<0. 001); the ODI reduced from 45% ~91%(63. 7% ± 15. 9%) preoperatively to 2% ~31%(8. 4% ±6. 6%) at final follow-up (P<0. 001). There were eight vertebraes (8. 2%) the occurrence of venous leakage of bone cement, 6 vertebraes (6. 1%) disc leakage, eight vertebraes (8. 2%) paravertebral leakage, and 2 patients (3. 3%) the occurrence of adjacent vertebral fractures. Conclusions The osteoporotic vertebral compression fractures treated by PVP using high viscosity bone cement can achieve a sat-isfactory clinical outcomes, with a low rate of discoidal leak, paravertebral leak and adjacent vertebral fracture.关键词
经皮椎体成形术/高黏度骨水泥/骨水泥渗漏/骨质疏松/椎体骨折Key words
percutaneous vertebroplasty/high-viscosity bone cement/cement leakage/osteoporosis/vertebral fracture分类
医药卫生引用本文复制引用
李非,陈阳,PORTER Daniel,王占长..高黏度骨水泥治疗骨质疏松性椎体压缩骨折的疗效[J].临床骨科杂志,2016,19(4):434-435,436,3.基金项目
卫生部医药卫生科技发展研究中心临床应用项目(编号:W2013ZT035) （编号:W2013ZT035）
