经皮椎体后凸成形术治疗高龄老年骨质疏松性胸腰椎压缩骨折

percutaneous kyphoplasty for thoracolumbar fractures in aged patients

目的:探讨经皮椎体后凸成形术治疗年龄大于75岁老年人胸腰椎压缩骨折的疗效。方法:对30例胸腰椎压缩性骨折椎体,采用经皮椎体后凸成形术治疗,观察治疗前后疼痛状况、椎体高度及Cobb角度的改变情况,评价疗效。结果:全部病例疼痛完全解除或有明显缓解,术后椎体高度、Cobb角度、VAS与治疗前相比,差异均有统计学意义。结论:经皮椎体后凸成形术是一种有效、安全的治疗高龄老年胸腰椎压缩骨折的方法。

Objective： To evaluate the effect of percutaneous kyphoplasty（PKP） in managing thoracolumbar fracture in patients whose age were more than 75 years old.Methods： From May 2005 to May 2009,thirty patients were treated by PKP.The height of the vertebral body and cobb＇s angle changes between pre-and post-treatment were measured on a radiograph.Visual Analogue Scale（VAS） was used to assess pain severity pre-and post-treatment.Results： Marked or complete pain disappeared in all patients.The height of the vertebral body were restored and the kyphosis were corrected.Conclusion： PKP is a safe and effective way to treat vertebral compression fractures in thoracolumbar spine in aged patients.