编织囊袋扩张-椎体后凸成形术治疗周壁破损的骨质疏松性椎体压缩骨折

Fabric pod kyphoplasty for vertebral compression fractures in patients with compromised vertebral walls

目的评估编织囊袋扩张-椎体后凸成形术治疗周壁破损的骨质疏松性椎体压缩骨折(OVCF)的初步临床效果。方法自2007年12月～2010年4月应用编织囊袋扩张-椎体后凸成形术治疗13例周壁破损的OVCF共15个椎体骨折。随访观察患者的VAS疼痛评分以及影像学改变情况。结果本组获随访3～6个月,平均4.5个月。术后患者疼痛均明显缓解,术后VAS评分、椎体前缘高度和伤椎后凸Cobb角改善显著。未出现骨水泥向椎体外渗漏。结论对于周壁破损的OVCF,编织囊袋扩张-椎体后凸成形术有效避免了骨水泥渗漏、显著缓解疼痛、有效恢复骨折椎体的高度,是一种安全有效的治疗方法。

Objective To assess the efficacy and safety of fabric pod kyphoplasty in the treatment of vertebral compression fractures(OVCF) in patients with compromised vertebral walls.Methods Thirteen patients suffered from OVCFs were treated by fabric pod kyphoplasty from December 2007 to April 2010,13 patients(with a total of 15 painful OVCFs) were enrolled in our study.Preoperative and postoperative of visual analogue scores(VAS),and radiographic results were compared.Results All patients received 3 to 6 months follow-up,with 4.5 months on average.All patients got significant pain relief.VAS score,the height of anterior column of the vertebrae and kyphotic angle improved significantly between the preoperative and postoperative values,respectively.No cement extravasation and complications after kyphoplasty occurred.Conclusion Fabric pod kyphoplasty is a safe and efficacious procedure to treat painful OVCFs with compromised vertebral walls.