两种评分系统评价置入物及骨水泥注入椎体成形治疗胸腰椎骨折效果的比较

Comparison of two scoring systems to assess the effect of vertebroplasty in the treatment of thoracolumbar vertebral fractures

目的：应用两种评分系统评价以置入物及骨水泥注入进行椎体成形治疗胸腰椎骨折疗效的比较。方法：回顾性分析2003-01/2009-01解放军第二军医大学长海医院收治的进行椎体成形患者61例,应用目测类比评分和下腰痛日本骨科学会评分评价患者术后疗效。结果：患者随诊时间为3-60个月。术前目测类比评分为（6.63±8.50）分,术后目测类比评分为（2.27±3.35）分,术后目测类比评分平均改善率为（56.6±25.5）%;术前日本骨科学会评分为21.11±5.75,术后日本骨科学会评分为25.62±2.7分,术后日本骨科学会评分平均改善率为（52.8±24.4）%。结论：目测类比和日本骨科学会两种评分系统结果相似,两种评分都可以应用于椎体成形后疗效的评价。

OBJECTIVE： To assess the effect of vertebroplasty in the treatment of thoracolumbar vertebral fractures using two scoring systems. METHODS： A total of 61 cases undergoing verterbroplasty in Changhai Hospital, Second Military Medical University of Chinese PLA between January 2003 and January 2009 were retrospectively analyzed. The postoperative effect was evaluated using visual analog scale （VAS） and Japanese Orthopedic Association （JOA） scoring system. RESULTS： The patients were followed up for 3-60 months. The preoperative and postoperative VAS scores were 6.63±8.50 and 2.27±3.35; the average improvement rate was （56.6±25.5）%. The preoperative and postoperative JOA scores were 21.11±5.75 and 25.62±2.79 respectively, and the average improvement rate of JOA was （52.8±24.4）%. CONCLUSION： The two scoring systems are similar, so both two scoring systems can be used to assess the effect of vertebroplasty.