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1、椎體后凸成形術(shù)治療骨質(zhì)疏松性脊柱壓縮骨折作者：海涌陳志明彭軍 吳繼功馬華松鄒德威【關(guān)鍵詞】骨質(zhì)疏松摘要：［目的］分析椎體后凸成形術(shù)治療骨質(zhì)疏松性椎體壓縮骨折的臨床和影像學(xué)結(jié)果，評價其臨床效果。［方法］本組43例骨質(zhì)疏松性椎體壓縮骨折均接受經(jīng)皮椎體球囊擴(kuò)張后凸成形術(shù)。其中男19例，女24例;年齡56～85歲，平均682歲。本組共61個椎體骨折，其中單椎體26例，兩椎體骨折11例，三椎體骨折4例，四椎體骨折2例。椎體骨折部位T7～L5。術(shù)后對患者的疼痛、日常功能以及影像學(xué)結(jié)果進(jìn)行了分析。［結(jié)果］所有患者隨訪1a以上，平均188個月(12~36個月)。平均VAS評分由
2、術(shù)前86到術(shù)后23和最終隨訪27(P＜0001)，Oswestry評分由術(shù)前55到術(shù)后30和最終隨訪35(P＜001)。手術(shù)椎體前、中柱平均高度由術(shù)前的1220mm到術(shù)后的2538mm和最終隨訪2636mm。脊柱矢狀位后凸畸形改善平均99°(43~22°)，隨訪丟失平均16°(08~17°)。4例發(fā)生骨水泥滲漏，但無嚴(yán)重并發(fā)癥發(fā)生。最終隨訪時有3例患者發(fā)生3個臨近節(jié)段椎體壓縮骨折。［結(jié)論］球囊擴(kuò)張椎體后凸成形術(shù)可有效恢復(fù)骨質(zhì)疏松性骨折椎體的高度、迅速緩解疼痛、改善病人的功能，明顯減少骨水泥的滲漏率,是一種安全、有效的治療方法?！ ￡P(guān)鍵詞：骨質(zhì)疏松；椎體壓縮骨折；
3、微創(chuàng)后凸成形術(shù) Abstract：［Objective］Toanalyzetheclinicalandradiographicresultsofkyphoplastyforthetreatmentofosteoporobevertebracompressivefracture［Method］FortythreepatientswithosteoporotievertebralcompressivefracturesweretreatedwithkyphoplastyTherewere19maleand24femalewithanaverageageof682y
4、ears(ranged,56~85years)Thefracturesincluded61vertebraetotallyandthereweresinglevertebrafracturesin26cases,doublein11cases,triplein4casesandquadricfracturesin2casesrespectivelyThelevelsoffracturesrangedfromT7toL5Thepain,dailyfunctionandradiographicresultswerecomparedpreandpostoperativ
5、ely［Result］Allpatientswerefollowedupforatleastoneyear(12~36months,averaged,188months)VASpainscoreimprovedfrom86preoperativelyto23postoperativelyandwas27atlastfollowupOswestryscoreimprovedfrom55preoperativelyto30postoperativelyandwas35atlastfollowupTheheightsofanteriorandmiddlecolumno
6、fthevertebraeincreasedfrom1220mmto2538mmandwas2636mmatlastfollowupTheaveragecorrectionofkyphosiswas99degreeand16degreeofcorrectionlostatlastfollowupFourpatientshadcementleakagewithoutadverseeventThreepatientsdevelopedthreeadjacentlevelfracturesatlast5followup［Conclusion］Kyphoplastyfo
7、rthetreatmentofosteoporotiecompressivevertebrafracturecanrestoretheheightoffracturedvertebra,achieveimmediatepainreliefandfunctionalimprovementaswellasminimizetheincidenceofcementleakageKyphoplastyisasafeandeffectivemethodfortreatingosteoporoticVCF Keywords：Osteoporosis;Vertebracomp
8、ressivefract
