经皮椎体成形术治疗老年人骨质疏松椎体压缩性骨折

Percutaneous vertebroplasty for the treatment of osteoporotic vertebral fracture in the elderly

目的：探讨经皮椎体成形术治疗老年人骨质疏松椎体压缩性骨折的效果。方法采用C臂X线透视下经皮椎体成形术治疗骨质疏松性椎体压缩骨折患者56例，所有患者均统计术前、术后Cobb角、VAS评分，以及术后并发症。结果所有患者均顺利完成手术，手术时间30～55 min，术中注入骨水泥2～5 mL，56例患者术后疼痛均明显减少或消失。 VAS：术前（7．9±1．5）分，术后（2．3±1．2）分；Cobb角：术前（25．8±4．9）°，术后（12．6±3．6）°。术后3～7 d患者在腰围保护下可以下床活动，经过2～14个月的随访，所有腰椎骨折患者疼痛均消失，未发生神经损伤、肺栓塞、骨水泥椎管内渗漏等并发症。结论经皮椎体成形术治疗老年人骨质疏松性椎体压缩性骨折疗效显著，可在短时间内解除患者痛苦，恢复正常活动，是一种安全有效的治疗手段。

Objective To investigate the effects of percutaneous vertebroplasty in the treatment of old symp -tomatic osteoporotic vertebral fractures in elderly .Methods 56 patients with osteoporotic vertebral fractures in elder-ly were selected and treated with percutaneous vertebroplasty .The age of the patients were from 67 to 83 years old, average of 72.5 years old.Among them,there were 15 male cases and 41 female cases.The Cobb angles,Visual Ana-logue Scale score ,and postoperative complications were measured .Results All the operations were successfully com-pleted which took the time from 30 min to 55min.2-5ml bone cement was used in the operation .Pains of 56 patients were significantly reduced or disappeared .VAS：（7.9 ±1.5） of pre-operation,VAS：（2.3 ±1.2） of post operation, Cobb angles：（25.8 ±4.9） of pre-operation,Cobb angles：（12.6 ±3.6） of post operation.The patients could move after operation with the protection of waist in 3 to 9 days.After the follow-up visit of 2 to 14 months,the pains of patients were disappear , no complications of nerves injury , pulmonary embolism and bone cement leakage of spinal canal.Conclusion It suggests that percutaneous vertebroplasty can relieve the pain and improve the life quality of the patients with old symptomatic osteoporotic vertebral fractures .It is worthy of clinical promotion .