【摘要】 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。更多还原

【Abstract】 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.更多还原