微创医学

目的探讨过伸复位结合经皮椎体成形术(PVP)联合治疗新鲜骨质疏松性胸腰椎压缩性骨折的疗效。方法采用过伸复位结合PVP术治疗新鲜骨质疏松性胸腰椎压缩骨折27例(32椎),对病人手术前1 d、术后3 d、术后1年的VAS值、病变椎体前缘高度、Cobb角作统计分析。结果手术均取得成功,无死亡、肺栓塞、骨水泥渗漏等并发症。平均随访18个月(17个月至3年),疼痛症状缓解,椎体高度、Cobb角改善。VAS评分、椎体前缘高度、Cobb角各项指标术后3 d和术后1年与术前比较,差异具有统计学意义(P<0.05),术后3 d与术后1年比较差异均无统计学意义(P>0.05)。结论过伸复位结合PVP术治疗老年新鲜骨质疏松性胸腰椎压缩骨折取得满意效果,为老年骨质疏松行压缩骨折的治疗提供一种新的选择。

Objective To explore the therapeutic efficacy of hyperextension reduction combined with percutaneous vertebroplasty in the treatment of newly diagnosed osteoporotic vertebral body compressed fractures( OVCF ) ． Methods Thirty-two vertebral bodies in 27 cases with OVCF were treated with hyperextension reduction combined with percutaneous vertebroplasty，the therapeutic efficacy was assessed by using visual analogue scale ( VAS) ， the anterior vertebral height，and Cobb’ s angle．Ｒesults All patients tolerated the procedure well． No operation death，pulmonary embolism，or bone cement leakage was reported． All patients were followed up for 17 － 36 months． VAS scores，the anterior vertebral heigh，and Cobb’s angle improved significantly after the surgery． Compared with pre-operation，there was significant difference in VAS scores，the anterior vertebral heigh and Cobb’ s angle 3 days or 1 year after operation( P ＜ 0． 05) ，but not between 1 year and 3 days after operation( P ＞ 0． 05) ． Conclusion Hyperextension reduction combined with percutaneous vertebroplasty can obtain satisfactory curative effect in the treatment of newly diagnosed aged OVCF，implying it as a new choice for these patients．

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