中国骨伤2024，Vol.37Issue(5)：470-476,7.DOI:10.12200/j.issn.1003-0034.20220829
经皮椎弓根螺钉锚定式椎体强化术治疗无神经症状Kümmell病
Percutaneous pedicle screw anchored vertebral augmentation for the treatment of Kümmell disease without neuro-logical symptoms
摘要
Abstract
Objective To explore the clinical effect of percutaneous pedicle screw anchored vertebral augmentation(PP-SAVA)in the treatment of asymptomatic Kümmell disease without neurological symptoms.Methods The clinical data of 20 patients with Kümmell disease without neurological symptoms treated with PPSAVA in our hospital from January 2019 to De-cember 2021 were analyzed retrospectively,including 5 males and 15 females,aged 56 to 88(74.95±9.93)years old.and the course of disease was 7 to 60 days with an average of(21.35±14.46)days.All patients were treated with PPSAVA.The time of operation,the amount of bone cement injected and the leakage of bone cement were recorded.The visual analogue scale(VAS),Oswestry disability index(ODI),vertebral body angle(VBA),anterior edge height and midline height of vertebral body were compared among the before operation,3 days after operation and during the final follow-up.The loosening and displace-ment of bone cement were observed during the final follow-up.Results All the 20 patients completed the operation successfully.The operation time was 30 to 56 min with an average of(41.15±7.65)min,and the amount of bone cement injection was 6.0 to 12.0 ml with an average of(9.30±1.49)ml.Bone cement leakage occurred in 6 cases and there were no obvious clinical symp-toms.The follow-up time was 6 to 12 months with an average of(8.43±2.82)months.The VBA,anterior edge height and mid-line height of of injured vertebral body were significantly improved 3 days after operation and the final follow-up(P＜0.05),and the VBA,anterior edge height and midline height of of injured vertebral body were lost in different degrees at the final follow-up(P＜0.05).The VAS and ODI at 3 days after operation and at the final follow-up were significantly lower than those at preopera-tively(P＜0.05),but the VAS score and ODI at the final follow-up were not significantly different from those at 3 d after opera-tion(P＞0.05).At the last follow-up,no patients showed loosening or displacement of bone cement.Conclusion PPSAVA is highly effective in treating Kümmell disease without neurological symptoms,improving patients'pain and functional impair-ment,and reducing the risk of cement loosening and displacement postoperatively.关键词
经皮椎弓根螺钉/经皮椎体强化术/Kümmell病/骨水泥松动/骨水泥移位Key words
Percutaneous pedicle screws/Percutaneous vertebral augementation/Kümmell disease/Loosening of bone cement/Displacement of bone cement分类
医药卫生引用本文复制引用
陈松海,叶林强,周泽霖,卢国樑..经皮椎弓根螺钉锚定式椎体强化术治疗无神经症状Kümmell病[J].中国骨伤,2024,37(5):470-476,7.基金项目
东莞市社会发展科技项目(编号:20221800906012) （编号:20221800906012）
东莞市2019年名中医药专家传承工作室建设项目(编号:东卫函[2016]84 号)Dongguan Science and Technology of Social Development Program(No.20221800906012) （编号:东卫函[2016]84 号）
