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椎体后凸成形术治疗老年胸腰椎压缩性骨折

Balloon Kyphoplasty for Aged thoracic-lumbar vertebrae fractures

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【作者】 张长春周建生肖玉周刘振华官建中

【Author】 Zhang Changchun,Zhou Jiansheng,Xiao Yuzhou,et al.(Department of Orthopaedics,Affiliated Hospital of Bengbu Medical College,Bengbu,Anhui 233004)

【机构】 蚌埠医学院附属医院骨科蚌埠医学院附属医院骨科 安徽蚌埠233000安徽蚌埠233000

【摘要】 目的:探讨球囊扩张椎体后凸成形术治疗老年胸腰椎压缩性骨折疗效。方法:采用经皮穿刺气囊扩张椎体后凸成形术治疗老年骨质疏松性胸腰椎骨折9例14个椎体。结果:9例患者后凸畸形平均矫正15°,其中8例患者术后疼痛即刻消失,另1例因终板部分破裂骨水泥入椎间隙,疼痛减轻。随访3~13个月,患者症状缓解,未见复发,椎体高度未见丢失。结论:经皮球囊扩张椎体后凸成形术是治疗老年性胸腰椎压缩性骨折的安全有效方法。

【Abstract】 Objective:To evaluate the efficacy of balloon kyphoplasty for aged thoracic-lumbar vertebrae compression fractures.Methods:From June 2000 to July 2005,14 vertebrae in 9 patients with thoracic or lumbar vertebrae fracture were treated by balloon kyphoplasty,inflatable bone tamp were inserted into the fractured vertebral body by percutaneous puncture under fluoroscopic guidance.Results:The back pain disappeared immediately after the kyphoplasty in 8 patients.But one(patient’s) back pain was abated because end plate of the patient was ruptured and bone cement leakage occurred,the average correction of kyphosis was 15°.Follow-up 3~13 months,the back pain was not occurred again and deformity correction was maintained well.Conclusion:Kyphoplasty is a safe and effective way to treat aged thoracic-lumbar vertebrae compression fracture.

  • 【文献出处】 解剖与临床 ,Anatomy and Clinics , 编辑部邮箱 ,2006年02期
  • 【分类号】R687.3
  • 【被引频次】6
  • 【下载频次】74
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