| 经皮椎体成形术后非手术椎体骨折的危险因素分析 |
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Received:August 07, 2012
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| 作者 | Author | 单位 | Unit | E-Mail |
| 刘建 |
LIU Jian |
浙江省立同德医院, 浙江 杭州 310012 |
Department of Orthopaedics, Tongde Hospital of Zhejiang Province, Hangzhou 310012, Zhejiang, China |
qianchengl@hotmail.com |
| 俞雷钧 |
YU Lei-jun |
浙江省立同德医院, 浙江 杭州 310012 |
Department of Orthopaedics, Tongde Hospital of Zhejiang Province, Hangzhou 310012, Zhejiang, China |
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| 宋红浦 |
SONG Hong-pu |
浙江省立同德医院, 浙江 杭州 310012 |
Department of Orthopaedics, Tongde Hospital of Zhejiang Province, Hangzhou 310012, Zhejiang, China |
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| 陆建伟 |
LU Jian-wei |
浙江省立同德医院, 浙江 杭州 310012 |
Department of Orthopaedics, Tongde Hospital of Zhejiang Province, Hangzhou 310012, Zhejiang, China |
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| 刘宏 |
LIU Hong |
浙江省立同德医院, 浙江 杭州 310012 |
Department of Orthopaedics, Tongde Hospital of Zhejiang Province, Hangzhou 310012, Zhejiang, China |
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| 张春 |
ZHANG Chun |
浙江省立同德医院, 浙江 杭州 310012 |
Department of Orthopaedics, Tongde Hospital of Zhejiang Province, Hangzhou 310012, Zhejiang, China |
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| 期刊信息：《中国骨伤》2013年26卷，第3期，第190-193页 |
| DOI：10.3969/j.issn.1003-0034.2013.03.004 |
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目的：探讨骨质疏松性椎体压缩性骨折(osteoporotic vertebral compression fractures,OVCFs)患者经皮椎体成形术(percutaneous vertebroplasty,PVP)后非手术椎体骨折的危险因素。
方法：对2009年8月至2011年9月126例行单节段PVP治疗的OVCFs患者进行回顾性分析,术后平均随访13.6个月。根据是否发生非手术椎体骨折分为骨折组和未骨折组,其中骨折组32例,男14例,女18例,年龄54～82岁,平均(67.63±7.28)岁;未骨折组94例,男40例,女54例,年龄55～76岁,平均(66.26±6.79)岁。再将骨折组按部位分为邻近椎体骨折组20例和非邻近椎体骨折组12例。记录患者年龄、性别、骨密度值(bone mineral density,BMD)、骨水泥注入量、椎体高度恢复率及矢状位后凸纠正度数,分析引起非手术椎体骨折的相关危险因素。
结果：骨折组与未骨折组比较,年龄、性别、BMD值、骨水泥注入量及矢状位后凸纠正角度差异无统计学意义(P>0.05),伤椎高度恢复率差异有统计学意义(P<0.05).邻近椎体骨折组与未骨折组比较,BMD值、矢状位后凸纠正角度差异无统计学意义(P>0.05),骨水泥注入量及伤椎高度恢复率差异有统计学意义(P<0.05).非邻近椎体骨折组与未骨折组比较,BMD值、骨水泥注入量、伤椎高度恢复率及矢状位后凸纠正角度差异均无统计学意义(P>0.05).
结论：椎体高度的恢复增加可能预示着OVCFs患者PVP术后非手术椎体再发骨折的风险增大,而邻近椎体骨折可能跟骨水泥注入量及椎体高度恢复均有关。 |
| [关键词]:骨质疏松 脊柱骨折 经皮椎体成形术 |
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| Analysis of correlative factors of non-surgical vertebral fractures after percutaneous vertebroplasty for osteoporotic vertebral compression fractures |
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Abstract:
Objective: To investigate the correlative factors of non-surgical vertebral fractures after percutaneous vertebroplasty (PVP) for osteoporotic vertebral compression fractures(OVCFs).
Methods: From August 2009 to September 2011,126 patients who underwent single-level PVP for OVCFs were included in this study. They were followed up with an average time of 13.6 months,divided into the refracture group and non-refracture group according to the onset of non-surgical vertebral fractures or not. In refracture group,there were 14 males and 18 females with an average age of(67.63±7.28) years(ranged,54 to 82);and in non-refracture group,there were 40 males and 54 females with an average age of (66.26±6.79) years (ranged,55 to 76). The refracture group was divided again into adjacent vertebral fracture(AVF) group (7 males and 13 females) and remote vertebral fracture(RVF) group (4 males and 8 females). The age,sex,bone mineral density(BMD),injecting bone cement volume,the recovery rate of vertebral body height,kyphosis corrected degree were recorded and the correlative factors of non-surgical vertebral fractures were analyzed.
Results: There was no statistically significant differences in age,sex,BMD,injecting bone cement volume and kyphosis corrected degree between refracture group and non-refracture group(P>0.05),and there was statistically significant difference in the recovery rate of vertebral body height (P<0.05). There was no statistically significant difference in BMD,kyphosis corrected degree between adjacent vertebral fracture group and non-refracture group(P>0.05);and there was statistically significant difference in injecting bone cement volume,recovery rate of vertebral body height(P<0.05). There was no statistically significant difference in BMD,injecting bone cement volume,recovery rate of vertebral body height,kyphosis corrected degree between remote vertebral fracture group and non-refracture group(P>0.05).
Conclusion: Recovery of vertebral body height may prefigure increasing risk of refracture in non-surgical vertebral body for the patient with OVCFs after PVP,and the adjacent vertebral fracture maybe concerned with injecting bone cement volume and recovery rate of vertebral body height. |
| KEYWORDS:Osteoporosis Spinal fractures Percutaneous vertebroplasty |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 刘建,俞雷钧,宋红浦,陆建伟,刘宏,张春.经皮椎体成形术后非手术椎体骨折的危险因素分析[J].中国骨伤,2013,26(3):190~193 |
| 英文格式: | LIU Jian,YU Lei-jun,SONG Hong-pu,LU Jian-wei,LIU Hong,ZHANG Chun.Analysis of correlative factors of non-surgical vertebral fractures after percutaneous vertebroplasty for osteoporotic vertebral compression fractures[J].zhongguo gu shang / China J Orthop Trauma ,2013,26(3):190~193 |
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