【摘要】 目的探讨经皮球囊扩张椎体后凸成形术治疗老年骨质疏松性椎体压缩骨折的疗效。方法对38例(47个椎体)老年骨质疏松性压缩骨折患者采用PKP治疗,手术前、后在侧位X线片上测量手术椎体的高度及后凸Cobb角,进行视觉模拟评分(VAS),术后观察骨水泥渗漏情况,对其临床效果进行评价及随访。结果 38例术后椎体前缘及中线高度较术前恢复明显;术后Cobb角较术前明显变小,后凸畸形得到明显矫正,术后各时间点平均VAS评分均较术前明显降低。随访4～24个月,疼痛缓解明显,无复发。结论经皮椎体后凸成形术治疗老年胸腰椎骨质疏松性压缩骨折具有微创、止痛效果好、无明显并发症及早期下地活动等优点,明显提高了患者生活质量。更多还原

【Abstract】 Objective: To evaluate the clinical effect of percutaneous Kyphoplasty in the treatment of the elderly osteoporotic thoracolumbar compression fracturein.Methods: Thirty-eight patients(47 vertebral) with elderly osteoporotic thoracolumbar compression fractures were treated with PKP.The results were quantitatively evaluated according to the concept of estimated vertebral height loss and kyphotic angle of the vertebral fractures by preoperative and postoperative plain standing lateralradiographs.Visual analog scale(VAS) and cement leakage were recorded.The effect was followed and evaluated.Results: After 4 to 24 months follow-up,PKP was successfully carried out in 38 cases and no recurrence was found.The vertebral pain was relieved obviously,the anterior and middle vertebral height was restored,and the kyphotic angle was corrected after operation.Conclusion: Percutaneo us Kyphoplasty was a safe,effective and minimally invasive procedure to treat osteoporotic thoracolumbar compression fracture,which can relieve the pain and promote the function and the quality of life.更多还原