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首页|期刊导航|河北医学|重度骨质疏松性脊柱压缩骨折应用椎体成形术联合骨水泥强化椎弓根钉内固定的疗效分析

重度骨质疏松性脊柱压缩骨折应用椎体成形术联合骨水泥强化椎弓根钉内固定的疗效分析

杜璠 刘志斌 李勇

河北医学2017,Vol.23Issue(8):1260-1264,5.
河北医学2017,Vol.23Issue(8):1260-1264,5.DOI:10.3969/j.issn.1006-6233.2017.08.008

重度骨质疏松性脊柱压缩骨折应用椎体成形术联合骨水泥强化椎弓根钉内固定的疗效分析

Analysis of Vertebroplasty Combined with Bone Cement on Pedicle Screw Fixation for Severe Osteoporotic Vertebral Compression Fractures

杜璠 1刘志斌 1李勇2

作者信息

  • 1. 延安大学附属医院脊柱外科病区,陕西 延安 716000
  • 2. 陕西省榆林市第二医院骨二科,陕西 榆林 719000
  • 折叠

摘要

Abstract

Objective:To investigate the curative effect of vertebroplasty combined with cement-reinforced pedicle screw fixation in the treatment of severe osteoporotic spondylolisthesis(OVCF).Methods: 80 patients with severe OVCF,who were enrolled from May 2014 to May 2016,were randomly divided into two groups.The patients in the control group received conservative treatment.The patients in the experimental group were treated with vertebroplasty combined with bone cement fixation,comparison of the two groups of patients with fracture-related parameters,hospital economics benefits,fracture rate,quality of life,imaging grade and satisfaction.Results: Compared with the control group,the VAS score,the height loss rate of the vertebral body,the score of the analgesic drug used in the experimental group were significantly higher than those in the control group(P <0.05).The bone mineral density(BMD),the cost of hospitalization and drug cost were significantly higher than those of the control group,the cost of rehabilitation,the cost of escort,the cost of rehabilitation,the cost of rehabilitation,the time of hospitalization and the rate of recurrence were all significantly lower than those of the control group(P <0.05).The imaging grade was significantly better than that of the control group(P <0.05).There was significant difference between the two groups(P <0.05).Conclusion: The treatment of severe OVCF with vertebroplasty combined with bone cement for pedicle screw fixation is significant and has reference significance.

关键词

椎体成形术/椎弓根钉内固定/OVCF/骨水泥

Key words

Vertebroplasty/Pedicle screw fixation/OVCF/Bone cement

引用本文复制引用

杜璠,刘志斌,李勇..重度骨质疏松性脊柱压缩骨折应用椎体成形术联合骨水泥强化椎弓根钉内固定的疗效分析[J].河北医学,2017,23(8):1260-1264,5.

基金项目

陕西省卫生厅科研基金项目,(编号:2014Jm32549) (编号:2014Jm32549)

河北医学

OACSTPCD

1006-6233

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