经皮椎体成形术治疗单纯囊性变Kümmell病

Treatment of vertebral burst fracture for the old by percutaneous vertebroplasty

目的观察经皮椎体成形术成形术治疗单纯囊性变Kümmell病的临床疗效。方法总结12例胸腰椎单纯囊性变Kümmell病行经皮椎体成形术后其腰痛缓解成度,根据手术前后VAS评分进行评估。结果 PVP均获成功,骨水泥无明显渗漏。术后8h内12例患者腰痛得到不同程度缓解,术后3d腰痛缓解率达85.0%。术后随访6～36个月,VAS评分由术前的平均7.5分提高到末次随访时的1.0分。结论经皮椎体成形术治疗单纯囊性变Kümmell病所致腰痛效果明显,骨水泥渗漏率更小,更安全。

Objective To study the results of percutaneous vertebroplasty in treating Kummerll disease with pure intraosseous cystic cavitary. Methods Summer pain relief of 12 patients with pure intraosseous cystic cavitary underwent PVP, the patients were examined after surgery to as VAS of the pain. Results All cases were successful, none of them 11 had asymptomatic.12 patients pain relieve in 8h after surgion.The time of follow-up was 6-36 months, the mean follow-up was 20 months.According to VAS, the fineness rate of operation after 3d was 85.5 %. the scores had dropped from average 7.5 to 1.0 preoperation and postoperation. Conclusion The percutaneous vertebroplasty （PVP） provides satisfactory results to Kummerll disease with pure intraosseous cystic cavitary and has eficiency to relief patient＇ s back pain.