中国医学装备2024，Vol.21Issue(6)：34-39,6.DOI:10.3969/j.issn.1672-8270.2024.06.007
骨盆矢状位X射线影像学参数评估经皮椎体后凸成形术治疗骨质疏松脊柱椎体压缩性骨折的疗效和预后研究
Curative effect and prognostic assessment of PKP in treating osteoporosis-caused spinal vertebral compression fractures by using imaging parameters of pelvic sagittal X-ray
摘要
Abstract
Objective:To explore the curative effect and prognostic assessment value of percutaneous kyphoplasty(PKP)in treating osteoporosis-caused spinal vertebral compression fractures by using imaging parameters of pelvic sagittal X-ray.Methods:A total of 198 patients with osteoporosis-caused spinal vertebral compression fractures who received treatment from January 2022 to January 2023 were selected,and they were divided into effective group(171 cases)and ineffective group(27 cases)according to the treatment effect.All patients underwent PKP treatment,and the parameters of preoperative measurements included sagittal vertical axis(SVA)of cervical vertebra 7(C7),the thoracic vertebra 1 pelvic angle(T1PA),thoracic kyphosis(TK),lumbar lordosis(LL)and sacral slope(SS).The clinically curative effect and prognosis between two groups were compared.Results:After PKP treatment,49 cases of 198 patients were cured,and 69 cases appeared significant effect,and 53 cases were effective,and 27 cases were ineffective.The SVA,LL and SS levels of effective group were significantly lower than those of ineffective group,and the differences of them were statistically significant(t=6.485,3.250,2.325,P<0.05),and the T1PA and TK of the effective group were significantly higher than those of the ineffective group(t=2.387,3.245,P<0.05),respectively.In 198 patients,39 cases occurred postoperative complications(20 cases occurred bone cement leakage,and 15 cases occurred recurrent adjacent vertebral fracture,and 2 cases occurred pulmonary embolism,and 2 cases occurred others),and 159 cases did not occurred complications.The SVA,LL and SS levels in patients without complications were significantly lower than those in patients with complications(t=10.304,5.669,0.844,P<0.05),and the T1PA and TK of patients without complications were significantly higher than those of patients with complications,and the differences were significant(t=3.494,5.550,P<0.05),respectively.The results of receiver operating characteristic(ROC)curve analysis showed that SVA,T1PA,TK,LL and SS had a certain value in assessing the curative effect and prognosis of PKP in treating osteoporosis-caused spinal vertebral compression fractures.Conclusion:Preoperative detection of imaging parameters of pelvic sagittal X-ray can assess the curative effect and prognosis of osteoporosis-caused spinal vertebral compression fractures,which can provide a certain reference for clinical treatment.关键词
骨盆矢状位X射线影像学参数/经皮椎体后凸成形术(PKP)/骨质疏松/脊柱椎体压缩性骨折/疗效/预后Key words
X-ray imaging parameters of pelvic sagittal/Percutaneous kyphoplasty(PKP)/Osteoporosis/Spinal vertebral compression fractures/Curative effect/Prognosis分类
特种医学引用本文复制引用
张顺利,陈荣,顾运涛,许春召,黄垂志..骨盆矢状位X射线影像学参数评估经皮椎体后凸成形术治疗骨质疏松脊柱椎体压缩性骨折的疗效和预后研究[J].中国医学装备,2024,21(6):34-39,6.基金项目
海南省自然科学基金青年基金项目(820QN406) Hainan Provincial Natural Science Foundation Youth Foundation Project(820QN406) （820QN406）
