生物骨科材料与临床研究2017，Vol.14Issue(2)：26-30,5.DOI:10.3969/j.issn.1672-5972.2017.02.006
经皮椎体后凸成形术治疗陈旧骨质疏松性胸腰椎压缩骨折不愈合的疗效分析
The efficacy of percutaneous kyphoplasty in treating old nonunion osteoporotic thoracolumbar vertebral compressive fractures
李存宽 1李志君 2罗岳 1汪得利1
作者信息
- 1. 青海省海东市平安区中医医院骨外科,青海海东810600
- 2. 大连市第二人民医院,辽宁大连116011
- 折叠
摘要
Abstract
Objective To evaluate the efficacy and safety ofpercutaneous kyphoplasty in treating old nonunion osteoporotic thoracolumbar vertebral compressive fractures.Methods 31 cases ofold nonunion osteoporotic thoracolumbar vertebral compressive fractures were treated by percutaneous kyphoplasty under C armed fluroscopy image guiding.The clinical effect was evaluated by observing the charges ofvisual analog scale (VAS),the Cobb's angle and height ofvertebral bodies.Results All cases were treated successfully.The height of the anterior and middle line vertebral body was from (11.2±2.7) mm,(14.7±3.1) mm preoperatively to (17.9±2.6) mm,(20.2±3.3) mm (P＜0.05) postoperatively,and at final follow-up (17.1 ±2.1) mm,(19.7±3.6) mm.The mean kyphosis was improved from (25.8±5.4) ° to (13.5±4.7)° (P＜0.05),and final follow-up (13.9±4.3) °.The back pain was marked relieved;VAS were (8.2±1.1),preoperatively and (2.5±0.6),postoperatively (P＜0.05) and correction of the deforming was maintained well after 3 monthes.During the follow up,no complication occurred.Conclusion The percutaneous kyphoplasty is simple and safe in treating old nonunion osteoporotic thoracolumbar vertebral compressive fractures.It can fast relieve pain,improve patients quality of life.关键词
椎体后凸成形术/骨质疏松/陈旧椎体压缩性骨折/不愈合Key words
Percutaneous kyphoplasty/Osteoporosis/Old Compression fracture of vertabral body/Nonunion分类
医药卫生引用本文复制引用
李存宽,李志君,罗岳,汪得利..经皮椎体后凸成形术治疗陈旧骨质疏松性胸腰椎压缩骨折不愈合的疗效分析[J].生物骨科材料与临床研究,2017,14(2):26-30,5.
