生物骨科材料与临床研究2017,Vol.14Issue(2):57-60,4.DOI:10.3969/j.issn.1672-5972.2017.02.015
PKP治疗骨质疏松性椎体压缩骨折疗效分析
Clinical research of percutaneous kyphoplasty in the treatment of osteoporotic vertebral fractures
刘凯 1沈绍勇 1王铠1
作者信息
- 1. 泰州市中医院骨伤科,江苏泰州225300
- 折叠
摘要
Abstract
Objective To investigate the clinical efficacy of percutaneous kyphoplasty (PKP) in the treatment of osteoporotic vertebral compressive fractures.Methods 72 patients (80 vertebraes) with osteoporotic vertebral compression fractures from Aug 2009 to Aug 2013 in Department of Orthopedics of Taizhou Hospital of Traditional Chinese Medicine were selected and treated with PKP.Visual analogue scale (VAS) method was used to assess the pre-and post-operative pain symptoms.Furthermore,Cobb angle and the clinical complication were observed.Results All the cases were followed-up for more than 1 year;all the pain symptoms were found eased,the VAS score after operation (3.7±0.66) scores was lower than that before operation (8.0±0.82) scores,the difference was statistically significant (P<0.05);Cobb angle before operation were (23.49± 12.75) °,after operation were (10.35±5.57) °,the differences were all statistically significant (P<0.05);all the cases are performed successfully,12 cases of bone cement leakage were found,8 cases of leakage were found in the vertebral body side,no leakage was found in the posterior vertebral,no neurologic symptom was found.Adjacent vertebral fracture in 2 cases,refracture occurred in 3 cases.Conclusion PKP is a safe and effective method for treating osteoporotic vertebral fractures.It can rapidly release the backache,restore the body height of fractured vertebrae,improve the life quality of patients with less clinical syndromes.关键词
骨质疏松/椎体压缩骨折/经皮椎体后凸成形术/骨水泥Key words
Osteoporosis/Vertebral compression fracture/Kyphoplasty/Bone cement分类
医药卫生引用本文复制引用
刘凯,沈绍勇,王铠..PKP治疗骨质疏松性椎体压缩骨折疗效分析[J].生物骨科材料与临床研究,2017,14(2):57-60,4.