【摘要】 目的探索悬吊法快速压缩椎体复位和经皮椎体成形术治疗椎体骨质疏松性压缩骨折的效果。方法首先采用悬吊法使压缩椎体快速复位,然后C型臂透视下进行经皮椎体成形术治疗。在术前、术后3个月随访时进行疼痛视觉类比评分(VAS)、椎体前缘高度和脊柱后凸角比较。结果 32例36个椎体均获得满意效果,VAS术前(6．3±0．4),术后3个月随访时(2．4±0．2);椎体前缘高度手术前(1．7±0．4),术后3个月随访时(2．9±0．5);脊柱后凸角手术前(17．5± 0．6),术后3个月随访时(10．8±0．3),3项观察指标均P<0．05。结论悬吊法使压缩椎体快速复位和椎体成形术是治疗椎体压缩骨折合并骨质疏松症的有效方法。更多还原

【Abstract】 Objective To explore the effectiveness of the fast suspensory set for compressed centrum and percutaneous vertebroplasty (PVP) treatment in osteoporosis compression fracture of thoracolum-bar vertebrae. Methods The fast suspensory set was used for compressed centrum reposition and then the percutaneous vertebroplasty was performed for the fractured vertebrae under the guidance of C-arm fluoroscopy. The vasual analogue scale (VAS), the height of centrum fore brink and the spinal back protrude were evaluated before and 3 months after PVP. Results Thirty-six vertebrae in 32 patients were effectively treated. The VAS was sharply decreased from 6. 3±0. 4 pre-PVP to 2. 7±0. 2 at 3 months after PVP. The height of centrum fore brink was increased from 1. 7±0. 4 pre-PVP to 2. 9±0. 5 at 3 months after PVP, While the spinal back protrude was sharply decreased from 17. 5±0. 6 to 10. 8±0. 3. Conclusions The fast suspensory set for compressed centrum reposition and percutaneous vertebroplasty is an effective technique for osteoporotic spinal compression fractures.更多还原