疑难病杂志2017，Vol.16Issue(8)：809-812,4.DOI:10.3969/j.issn.1671-6450.2017.08.014
过伸复位联合单侧入路椎体成形术治疗骨质疏松性胸腰椎体压缩骨折的疗效评价
Effect of joint hyperextension reset unilateral approach vertebral plasty in the treatment of osteoporotic thoracic lumbar vertebral compression fractures
摘要
Abstract
Objective To observe the effect of combined reduction and unilateral approach vertebroplasty in the treatment of osteoporotic thoracic lumbar vertebral compression fractures.Methods From November 2012 to March 2016 in the Department of Orthopedics of the First Affiliated Hospital of Shaoyang University,80 cases of fresh osteoporotic vertebral compression fractures patients were enrolled,according to the different treatment methods,they were divided into surgery group and combined group,surgery group received a unilateral approach vertebroplasty treatment(38 cases);combined group accept hyperextension and unilateral approach vertebral body angioplasty treatment(42 cases).The intraoperative and postoperative recovery of the 2 groups were evaluated.Results Compared with pre-operation,after 24 weeks postoperatively,2 groups of VAS score and Cobb angle decreased(P<0.01);the 2 groups pre-operative VAS score and Cobb angle''s difference was not statistically significant(P>0.05),12 and 24 weeks after operation,combined group''s VAS score and Cobb angle were lower than the operation group.The difference was statistically significant(P<0.01).Compared with before treatment,the height of the leading edge of the vertebral body showed an upward trend(P<0.01)after the treatment,and the level of the leading edge of the vertebral body in the joint group was significantly better than that of the only surgery group,the difference was statistically significant(P<0.01);During the 24 week follow-up period,the incidence of postoperative complications in the combined group was lower than that in the only surgery group,and the difference was statistically significant(P<0.05).Conclusion Compared with the simple unilateral approach vertebroplasty,the extension reduction during the operation can effectively improve the postoperative recovery of osteoporotic vertebral compression fractures.关键词
过伸复位/单侧入路椎体成形术/骨质疏松/椎体压缩骨折Key words
Hyperextension reset/Unilateral approach vertebral plasty/Osteoporosis/Vertebral compression fractures引用本文复制引用
吴祖同,张轶群,尹建文..过伸复位联合单侧入路椎体成形术治疗骨质疏松性胸腰椎体压缩骨折的疗效评价[J].疑难病杂志,2017,16(8):809-812,4.基金项目
湖南省教育厅科研项目(14C1041) （14C1041）
