中国现代医学杂志2016，Vol.26Issue(24)：133-138,6.DOI:10.3969/j.issn.1005-8982.2016.24.029
经皮椎体后凸成形术治疗重度骨质疏松骨折的疗效观察
Treatment of severe osteoporotic vertebral compression fracture with kyphoplasty
杨明 1吴起宁 1胡雄科 1尹新华 1刘世长 1郝定均 1刘继军 1刘仲凯1
作者信息
- 1. 西安交通大学医学院附属红会医院 脊柱外科，陕西 西安 710054
- 折叠
摘要
Abstract
Objective To compare the vertebral height restoration rate, kyphotic angle, and clinical results of patients who underwent kyphoplasty according to the degree of anterior vertebral height loss, and to determine the feasibility and effects of kyphoplasty on severely collapsed osteoporotic vertebral fractures. Methods According to radiographic findings, patients were divided into three groups. Patients with an anterior height compression ratio more than 70% at the time of fracture were divided into Group Ⅰ, patients with a compression ratio of 50%~70%were divided into Group II, and those with a compression ratio of 30%~50% as Group Ⅲ.The patients' kyphotic angle, anterior vertebral height, and anterior vertebral height restoration ratio 1 year after surgery were compared. Pre- and postoperative pain around the fractured vertebra and the radiological and clinical results according to bone mineral density (BMD) were also compared. Reaults GroupⅠshowed a greater extent of anterior height restoration immediately after surgery compared with the other groups, which decreased over time. All three groups showed significant restoration of the anterior vertebral height between pre-and postoperative values. The anterior vertebral height 1 year after surgery did not differ between Group Ⅰand Group II but was significantly higher in Group Ⅲ. There was no correlation between the BMD and restoration or decreased in all groups immediately and 1 year after surgery compared with preoperative levels, although the pain level 1 year after surgery did not differ significantly between the groups. Conclusions In patients with an anterior vertebral compression ratio more than 70%because of osteoporotic vertebral fracture, kypoplasty significantly improves the degree of pain, restored the anterior vertebral height, and maintained the kyphotic angle. Therefore, kyphoplasty can be a useful approach in patients with an anterior vertebral compression ratio more than 70%.关键词
椎体后凸成形术/骨质疏松/椎体压缩骨折Key words
kyphoplasty/osteoporotic/vertebral compression fracture分类
医药卫生引用本文复制引用
杨明,吴起宁,胡雄科,尹新华,刘世长,郝定均,刘继军,刘仲凯..经皮椎体后凸成形术治疗重度骨质疏松骨折的疗效观察[J].中国现代医学杂志,2016,26(24):133-138,6.
