临床骨科杂志2025，Vol.28Issue(1)：11-15,5.DOI:10.3969/j.issn.1008-0287.2025.01.005
后外侧入路单侧椎弓根穿刺经皮椎体后凸成形术治疗骨质疏松性椎体压缩骨折
Unilateral pedicle puncture percutaneous kyphoplasty with posterolateral approach for treat-ment of osteoporotic vertebral compression fractures
摘要
Abstract
Objective To investigate the effect of unilateral pedicle puncture percutaneous kyphoplasty(PKP)via posterolateral approach for treatment of osteoporotic vertebral compression fractures(OVCF).Methods The 220 OVCFs patients were divided into observation group(94 cases were treated with posterolateral approach unilateral uni-lateral pedicle puncture PKP)and control group(126 cases were treated with posterior approach bilateral pedicle puncture PKP)according to different treatment methods.The surgical situation,pain VAS were recorded,and the Cobb angle,the compression ratio of the anterior edge of the injured vertebra were measured.Results All patients were fol-lowed up for 6～12 months.The observation group had shorter(less)surgical time,intraoperative bleeding volume,and intraoperative fluoroscopy frequency,compared to the control group(P<0.05).There were no statistical differ-ences in the bone cement injected volume and the rate of bone cement leakage between the two groups(P>0.05).At the last follow-up,the pain VAS,Cobb angle and compression ratio of the anterior edge height of the injured vertebra of two groups were superior to the preoperation(P<0.05),and there were no statistical differences for above data be-tween two groups(P>0.05).Conclusions The posterolateral approach unilateral pedicle puncture PKP in the treat-ment of OVCF can achieve the same treatment effect as posterior approach bilateral puncture,and which has the ad-vantages of shorter surgical time,few intraoperative fluoroscopy frequency,and less intraoperative bleeding.关键词
骨质疏松性椎体压缩骨折/后外侧入路单侧椎弓根穿刺/经皮椎体后凸成形术/骨水泥Key words
osteoporotic vertebral compression fractures/unipedicle puncture via posterolateral approach/percutane-ous kyphoplasty/bone cement分类
医药卫生引用本文复制引用
郭志宏,李翀,尹毅,陆轲,陈是煌,陈伟..后外侧入路单侧椎弓根穿刺经皮椎体后凸成形术治疗骨质疏松性椎体压缩骨折[J].临床骨科杂志,2025,28(1):11-15,5.基金项目
江苏省苏州市科技局科技计划项目(编号:SLJ2022023) （编号:SLJ2022023）
