局解手术学杂志2017，Vol.26Issue(6)：427-430,4.DOI:10.11659/jjssx.12E016019
椎间骨桥对骨质疏松性椎体压缩骨折愈合的影响
Effects of intervertebral bridging ossifications in patients of osteoporotic vertebral compression fracture on bone fracture healing
摘要
Abstract
Objective To investigate the effects of intervertebral bridging ossifications in patients of osteoporotic vertebral compression fracture (OVCF) on bone fracture healing.Methods A total of 170 patients of thoracolumbar vertebral endplate fracture who were admitted into our hospital were selected.Divided these patients into the observation group,namely 60 patients with nonunion of vertebral endplate after 3 months of conservative treatment,and the control group, including 110 patients with well healed vertebra after 3 months of conservative treatment.Compared the distribution of intervertebral bridging ossifications of the two groups 3 weeks after injury.Results The incidence of bridging ossification at levels of T9 to T10,T10to T11,T11to T12 in the observation group were significantly higher than that in the control group.And it showed a significantly higher incidence of bridging ossification at the second proximal intervertebral segment in the observation group than that of the control group.There was a significantly greater sagittal wedge angle in the observation group compared with the control group.Conclusion Conservative treatment may increase the risk of nonunion of osteoporotic vertebral compression fractures when there is a bridging ossification at the second proximal intervertebral level or the sagittal wedge angle was greater than 14.2°in a fresh osteoporotic vertebral compression fracture.It should be a careful choose whether to take conservative treatment or surgical intervention.关键词
椎间骨桥/椎体压缩骨折/骨皮质不连续/愈合不良Key words
intervertebral bridging ossification/vertebral compression fractures/nonunion of vertebral endplate/undesirable healing分类
医药卫生引用本文复制引用
李青松,王亚楠,孟令志,朴美慧,马俊雄,刘军,项良碧,王琪..椎间骨桥对骨质疏松性椎体压缩骨折愈合的影响[J].局解手术学杂志,2017,26(6):427-430,4.基金项目
辽宁省科学基金(2015020403) （2015020403）
