| 经皮椎体后凸成形术治疗椎体骨质疏松骨折伴脊柱侧凸的研究 |
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Received:May 14, 2015
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| 作者 | Author | 单位 | Unit | E-Mail |
| 瞿杭波 |
QU Hang-bo |
浙江中医药大学附属第一医院骨科, 浙江 杭州 310006 |
Department of Orthopaedics, The 1st Hospital Affilicated to Zhejiang University of TCM, Hangzhou 310006, Zhejiang, China |
764753499@qq.Com |
| 童培建 |
TONG Pei-jian |
浙江中医药大学附属第一医院骨科, 浙江 杭州 310006 |
Department of Orthopaedics, The 1st Hospital Affilicated to Zhejiang University of TCM, Hangzhou 310006, Zhejiang, China |
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| 季卫锋 |
JI Wei-feng |
浙江中医药大学附属第一医院骨科, 浙江 杭州 310006 |
Department of Orthopaedics, The 1st Hospital Affilicated to Zhejiang University of TCM, Hangzhou 310006, Zhejiang, China |
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| 厉驹 |
LI Ju |
浙江中医药大学附属第一医院骨科, 浙江 杭州 310006 |
Department of Orthopaedics, The 1st Hospital Affilicated to Zhejiang University of TCM, Hangzhou 310006, Zhejiang, China |
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| 期刊信息：《中国骨伤》2016年29卷，第1期，第38-40页 |
| DOI：10.3969/j.issn.1003-0034.2016.01.009 |
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目的:评估经皮椎体后凸成形术(percutaneous kyphoplasty,PKP)治疗椎体骨质疏松骨折(osteoporotic vertebral compression fracture,OVCF)伴有脊柱侧凸的效果。
方法:2009年3月至2014年3月,对121例接受PKP治疗的椎体骨质疏松骨折伴有脊柱侧凸患者进行回顾性分析,121例189椎体压缩性骨折,男41例,女80例;年龄56～92岁,平均73.2岁。术前、术后3 d分别采用疼痛视觉模拟评分(visual analogue score,VAS)和Oswestry功能障碍指数评定患者疼痛和功能恢复情况,分析患者术前与术后3 d腰椎前凸、侧凸Cobb角。
结果:121例术后均获随访,时间6～24个月,平均11个月。所有患者手术顺利,手术时间30～65 min,平均42.2 min,术中透视未发现骨水泥向椎体后方渗漏。患者术后3 d疼痛视觉模拟评分(visual analogue score,VAS)和Oswestry功能障碍指数较术前明显下降(P<0.05),术后3 d腰椎前凸、侧凸Cobb角较术前明显改善(P<0.05).
结论:PKP治疗合并脊柱侧凸的胸腰椎骨质疏松骨折能明显改善患者脊柱畸形,缓解疼痛,是值得推荐的治疗方法。 |
| [关键词]:骨质疏松 骨折 脊柱侧凸 |
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| Percutaneous kyphoplasty for the treatment of osteoporotic vertebral compression fracture with degenerative scoliosis |
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Abstract:
Objective:To evaluate the therapeutic effects of percutaneous kyphoplasty(PKP) for the treatment of osteoporotic vertebral compression fracture (OVCF) with degenerative scoliosis.
Methods:From March 2009 to March 2014,121 patients undergoing PKP for the treatment of osteoporotic vertebral compression fracture (OVCF) with degenerative scoliosis were retrospective analyzed. There were 41 males and 80 females,ranging in age from 56 to 92 years with an average of 73.2 years. Preoperative and postoperative 3 d respectively pain visual analogue scale (visual analogue score,VAS) and Oswestry Disability Index assessed pain and functional recovery of patients and preoperative and postoperative 3 d lumbar lordosis,scoliosis Cobb angle were analyzed.
Results:All the patients were followed up,and the duration ranged from 6 to 24 months,with a mean time of 11 months. All the patients achieved success in operation without serious complications. The operation time ranged from 30 to 65 min with an average of 42.2 min. Local leakage of bone cement was not found in canal. The VAS and Oswestry Disability Index at the 3rd day after operation decreased significantly compared with those of the preoperative(P<0.05),and the lumbar lordosis and scoliosis Cobb angle also improved significantly compared with those of the preoperative(P<0.05).
Conclusion:Percutaneous kyphoplasty(PKP) for the treatment of thoracolumbar scoliosis osteoporotic fracture can significantly improve patients spinal deformity,pain relief,which is worth of recommending. |
| KEYWORDS:Osteoporosis Fractures Scoliosis |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 瞿杭波,童培建,季卫锋,厉驹.经皮椎体后凸成形术治疗椎体骨质疏松骨折伴脊柱侧凸的研究[J].中国骨伤,2016,29(1):38~40 |
| 英文格式: | QU Hang-bo,TONG Pei-jian,JI Wei-feng,LI Ju.Percutaneous kyphoplasty for the treatment of osteoporotic vertebral compression fracture with degenerative scoliosis[J].zhongguo gu shang / China J Orthop Trauma ,2016,29(1):38~40 |
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