中国组织工程研究2017，Vol.21Issue(23)：3670-3675,6.DOI:10.3969/j.issn.2095-4344.2017.23.011
经皮穿刺加压植入骨棒骨粉椎体成形治疗胸腰椎体压缩性骨折:恢复伤椎结构完整性和稳定性
Percutaneous vertebroplasty combined with granulated allogeneic bone grafting for thoracolumbar compressive fractures: the completeness and stability of fractured vertebrae
林玉江 1杨利民 1杨健1
作者信息
- 1. 青岛市市立医院东院脊柱外科,山东省青岛市266011
- 折叠
摘要
Abstract
BACKGROUND:Percutaneous vertebroplasty is mainly used to treat senile osteoporotic compressive fractures,while for young patients,pedicle screw internal fixation is usually applied,but heavy trauma,nail broken,secondary surgery and other problems can be found occasionally.OBJECTIVE:To investigate the clinical efficacy of percutaneous vertebroplasty combined with granulated allogeneic bone grafting for thoracolumbar compressive fractures.METHODS:Twenty-one patients suffering thoracolumbar compressive fractures were recruited,and underwent percutaneous vertebroplasty combined with granulated allogeneic bone grafting.The Visual Analogue Scale scores,height ratio of fractured vertebrae and Cobb angle were detected before and after surgery.RESULTS AND CONCLUSION:(1) Compared with baseline,the Visual Analogue Scale scores were improved significantly at 1 day and 6 months postoperatively (P ＜ 0.05).(2) The height ratio of fractured vertebrae at 1 day and 6 months postoperatively was significantly higher than that before treatment (P ＜ 0.05).(3) The Cobb angle of fractured vertebrae at 1 day and 6 months postoperatively was significantly less than that before treatment (P ＜ 0.05).(4) The mean operation time was (52±12.3) minutes,and the mean blood loss was (11.5±1.5) mL.(5) These results suggest that percutaneous vertebroplasty combined with granulated allogeneic bone grafting can effectively restore the anterior fractured vertebral height,eliminate the cavity in the fractured vertebrae,renew the completeness and stabilization of the fractured vertebrae,which keep the spinal range of motion;therefore,it is a minimal invasive method in the treatment of thoracolumbar fractures.关键词
骨科植入物/脊柱植入物/胸腰椎压缩性骨折/经皮穿刺/骨粉加压植骨/椎体成形术/微创分类
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林玉江,杨利民,杨健..经皮穿刺加压植入骨棒骨粉椎体成形治疗胸腰椎体压缩性骨折:恢复伤椎结构完整性和稳定性[J].中国组织工程研究,2017,21(23):3670-3675,6.
