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经皮椎体成形术治疗老年骨质疏松性椎体压缩骨折
Percutaneous vertebroplasty for the osteoporosis vertebral body crush fracture in aged patients

微创医学 201102期 页码:108-110

作者机构: 江苏省徐州医学院第二附属医院骨科,徐州市221006

基金信息:收稿日期:2010—12-30

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  • 英文简介
  • 参考文献
目的总结经皮椎体成形术(PVP)治疗骨质疏松性椎体压缩骨折的疗效。方法 21例老年骨质疏松性椎体压缩骨折患者,平均年龄72.2(62-83)岁,单椎体压缩骨折11例,多椎体压缩骨折10例,并发糖尿病、心脑血管疾病各1例,均予PVP治疗。结果术中发生骨水泥漏3例,无神经损伤表现。手术前后X线片比较,椎体高度平均恢复82%(50%-90%),疗效达优13例,良6例,差2例。术后除1例仍有疼痛外,其余疼痛均消失。出院后平均随访12个月,椎体高度无丢失,骨水泥形态无改变。结论对于老年骨质疏松性椎体压缩骨折,PVP是一种有效、安全的微创手术,能够迅速改善临床症状,重建脊柱稳定性,近期疗效较好
Objective To evaluate the effect of percutaneous vertebroplasty(PVP) for the osteoporosis vertebral body crush fracture.Methods 21 patients of osteoporosis vertebral body crush fracture,with an average age of 72.2 years(62-83 years old),including 11 single vertebral body crush fracture and 10 multi-vertebral body crush fracture,1 complicated with diabetes mellitus and 1 with cardiovascular and cerebrovascular diseases,were enrolled and performed with PVP.Results Cement leakage was detected in 3 patients during operation,but no nerve injury occurred.By comparing the pre and post X-ray image,vertebral height was found improved an average of 82%(50%-90%).The clinical outcome was graded as excellent in 13patients,good in 6 patients and poor in 2.The pain vanished postoperatively in the series except 1patient.All the patients were followed up for an average of 12 months,and no decrease of the vertebral height or cement morphous change was detected.Conclusion PVP is an effective,safe and minimally invasive procedure for the osteoporosis vertebral body crush fracture in aged patients.It can achieve good results with quick improvement in clinical symptom and spinal stability reconstructions in short term.
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