检验医学与临床2018，Vol.15Issue(6)：740-743,4.DOI:10.3969/j.issn.1672-9455.2018.06.002
PVP和PKP治疗骨质疏松性椎体骨折后伤椎塌陷在冠状位上的影像学改变
Imaging changes of injured vertebrae collapse in coronal plane after PVP and PKP treatment for treating osteoporotic vertebral fractures
摘要
Abstract
Objective To observe the imaging changes of the injured vertebrae collapse in the coronal plane after percutaneous vertebroplasty(PVP)and percutaneous kyphoplasty(PKP)for treating osteoporotic verte-bral fractures.Methods The patients with osteoporotic vertebral fractures treated with PVP or PKP in the Chongqing Municipal Thirteen People′s Hospital were retrospectively analyzed for observing the scoliosis Cobb angle in the injured vertebrae,wedge angle of the injured vertebrae,height of the vertebrae on both sides and the distance between the upper and injured vertebral spinous processes before surgery,on postoperative 3 d and at the last follow-up.Results The injured vertebral parameters in the coronal plane had no statistically significantly differences between before surgery and on postoperative 3 d,and between on postoperative 3 d and at the last follow-up(P>0.05).At the last follow-up,various parameters had different degrees of loss. The VAS scores before surgery,on postoperative 3 d and at the last follow-up were(6.91 ± 0.73),(2.61 ± 0.50)and(2.26 ± 0.62)points respectively.Twenty-one cases underwent the bone mineral density(BMD)de-tection at the last follow-up,with an average T value of -4.76 ± 1.12.Conclusion The injured vertebrae col-lapse after PVP and PKP for treating osteoporotic vertebral fractures has corresponding imaging changes in the coronal plane.The doctor should pay attention to the injured vertebrae deformity in the coronal plane,and anti-osteoporosis treatment should be emphasized postoperatively.关键词
椎体成形术/椎体后凸成形术/骨质疏松性椎体骨折/影像学改变/冠状位Key words
percutaneous vertebroplasty/percutaneous kyphoplasty/osteoporotic vertebral fracture/imaging changes/coronal plane分类
医药卫生引用本文复制引用
刘列华,王建刚,王晓嘉,吕应文,任周奎,于金华,刘旭,周强..PVP和PKP治疗骨质疏松性椎体骨折后伤椎塌陷在冠状位上的影像学改变[J].检验医学与临床,2018,15(6):740-743,4.基金项目
重庆市卫生和计划生育委员会医学科研面上项目(2016MSXM084). （2016MSXM084）
