临床骨科杂志2025，Vol.28Issue(1)：16-19,4.DOI:10.3969/j.issn.1008-0287.2025.01.006
同期再行经皮椎体成形术治疗骨质疏松性椎体压缩骨折术后疼痛不缓解
Simultaneous repeat percutaneous vertebroplasty on the unrelieved pain after osteoporotic vertebral compression fractures surgery
摘要
Abstract
Objective To investigate simultaneous repeat percutaneous vertebroplasty(PVP)in the treatment of un-relieved pain after osteoporotic vertebral compression fracture OCVF surgery.Methods PVP and percutaneous ky-phoplasty(PKP)were used to treat 8 patients with OVCFs,simultaneous repeat PVP was performed after unrelieved pain due to poor bone cement dispersion.The bone cement injection volume,pain VAS,ODI and complications inci-dence situation were recorded.Results All patients were followed up for1 week.Pain VAS:they were6～8(7.13±0.83)points before surgery,5～8(6.38±0.92)points after PKP or PVP,1～2(1.63±0.52)points after simul-taneous repeat PVP,0～2(1.13±0.64)points at 1 week after surgery.ODI:The preoperative was 62%～78%(70.38%±5.50%),postoperative 1 week was 11%～18%(14.88%±2.17%).The injection volume of bone cement in per vertebra:PKP or PVP was 5～8(6.13±0.99)ml,and the simultaneous repeat PVP was 2～3(2.25±0.46)ml.The bone cement was uniformly dispersed after operation,paravertebral leakage occurred in 1 case and intervertebral space leakage occurred in 1 case,there were no neurological symptoms or intraspinal leakage of bone cement.Conclusions For OVCFs patients whose pain are not relieved due to poor bone cement dispersion after PVP or PKP treatment,simultaneous repeat PVP can effectively relieve pain and improve treatment effect,and effec-tive bone cement dispersion can also prevent vertebral recollapse.关键词
骨质疏松性椎体压缩骨折/经皮椎体成形术/经皮椎体后凸成形术Key words
osteoporotic vertebral compression fracture/percutaneous vertebroplasty/percutaneous kyphoplasty分类
医药卫生引用本文复制引用
李东,李卓凡,曹晨皓,王董,常志泳,周陈西,李开华..同期再行经皮椎体成形术治疗骨质疏松性椎体压缩骨折术后疼痛不缓解[J].临床骨科杂志,2025,28(1):16-19,4.基金项目
国家自然科学基金(编号:81873105、82374164) （编号:81873105、82374164）
