医学信息2025，Vol.38Issue(9)：117-120,4.DOI:10.3969/j.issn.1006-1959.2025.09.023
术中体外手法复位在椎体成型治疗椎体压缩骨折中的疗效观察
Observation on the Curative Effect of Intraoperative Manual Reduction in Vitro in the Treatment of Vertebral Compression Fractures with Percutaneous Vertebroplasty
刘智 1郭树章 1王铜浩 1田永刚 1韩立强 1吴凯楠1
作者信息
- 1. 天津市第三中心医院骨科/天津市重症疾病体外生命支持重点实验室/天津市人工细胞工程技术研究中心/天津市肝胆疾病研究所,天津 300381
- 折叠
摘要
Abstract
Objective To discuss the treatment effect of posture hypertension reduction combined with manual reduction during the injection of bone cement in percutaneous vertebroplasty for the treatment of osteoporotic vertebral compression fractures in the elderly.Methods The clinical data of 31 elderly patients(≥60 years old)with OVCF who underwent percutaneous vertebroplasty in the Third Central Hospital of Tianjin from June 2022 to May 2023 were collected.A total of 31 patients were followed up for 1 month.The degree of vertebral compression and Cobb angle before and after operation were measured,and the visual analogue scale(VAS)of pain before and after operation was recorded to observe the efficacy of this method.Results There were significant differences in vertebral compression degree,Cobb angle and VAS score before and after operation(P＜0.05).No nerve injury,wound infection and hematoma occurred in all cases.There were 5 cases of bone cement leakage,including 3 cases of intervertebral disc leakage,1 case of anterior leakage,1 case of lateral leakage,and no case of intraspinal leakage.Transient hypotension occurred in 1 case during intraoperative bone cement injection,and recovered after 2 minutes of dexamethasone application.Conclusion After posture hyperextension reduction,the application of additional manual reduction force in the course of bone cement injection provides a continuous reduction force,which can achieve more satisfactory reduction results,reduce the degree of residual kyphosis,and has good clinical efficacy.关键词
椎体成型/椎体压缩骨折/复位/椎体高度Key words
Vertebroplasty/Vertebral compression fractures/Reduction/Vertebral body height分类
医药卫生引用本文复制引用
刘智,郭树章,王铜浩,田永刚,韩立强,吴凯楠..术中体外手法复位在椎体成型治疗椎体压缩骨折中的疗效观察[J].医学信息,2025,38(9):117-120,4.
