岭南现代临床外科2023，Vol.23Issue(5)：387-391,5.DOI:10.3969/j.issn.1009-976X.2023.05.003
单侧PKP治疗老年椎体压缩骨折骨水泥灌注量及椎体内分布的临床疗效分析
Clinical effect of unilateral PKP in the treatment of vertebral compression fracture in the elderly from the perspective of the injected volume and distribution of bone cement
摘要
Abstract
Objective To investigate the clinical effect of unilateral percutaneous kyphoplasty(PKP)in the treatment of vertebral compression fracture in the elderly from the perspective of the injected volume and distribution of bone cement.Methods The clinical data of 60 elderly patients with vertebral compression fracture who were treated in the hospital from September 2019 to September 2022 were retro-spectively analyzed.According to the position of bone cement in vertebral body displayed on postoperative thoracolumbar orthotopic X-ray film,the patients were divided into control group(eccentric distribution,31 cases)and observation group(centric distribution,29 cases).Perioperative parameters of the two groups were compared.Changes in pain scores and imaging data before operation,1 week,6 months and 12 months after operation,activities of daily living and the incidence rates of complications in the two groups were recorded.Results There was no statistically significant difference between the two groups in terms of surgical time,blood loss,length of hospital stay,injected volume of bone cement and the incidence of complications(P>0.05).The Visual Analog Scale(VAS)scores,Oswestry disability index(ODI)scores and kyphosis angles(Cobb angle)of the two groups decreased at 1 week,6 months and 12 months after operation.The VAS score,ODI score and Cobb angle of the observation group were lower than those of the control group at each time point(P<0.05).Conclusion The distribution of bone cement in elderly patients with vertebral compression fracture after unilateral PKP can affect the curative effect.Eccentric distribution can delay pain relief and affect quality of life of the patients.Therefore,centric distribution of bone cement should be maintained as much as possible.关键词
椎体压缩骨折/骨水泥/单侧入路/经皮椎体后凸成形术Key words
vertebral compression fracture/bone cement/unilateral approach/percutaneous kypho-plasty分类
临床医学引用本文复制引用
严越茂,李世平,张海军,肖建勇,李培浩,邹志勇,任辉..单侧PKP治疗老年椎体压缩骨折骨水泥灌注量及椎体内分布的临床疗效分析[J].岭南现代临床外科,2023,23(5):387-391,5.基金项目
国家自然科学基金项目(82274615) （82274615）
广东河源市科技计划项目(河科社发2022069) （河科社发2022069）
