摘要
目的 2009-01-2011-06分析经皮椎体后凸成形术后相邻与远节段椎体再骨折再骨折的危险因素。方法回顾分析2009-01-2011-06解放军306医院全军脊柱外科中心收治的因骨质疏松性椎体压缩骨折入院行PKP治疗92例患者,根据有无椎体再发骨折将患者分为再骨折组与对照组,分析两组患者:性别、年龄、骨密度T值、手术椎体位置(胸腰段/非胸腰段)、骨水泥用量、骨水泥注射方式(单侧/双侧)、骨水泥渗漏、术前椎体骨折数量、手术椎体数量、术后VAS评分、长期糖皮质激素使用史及影像学改变情况。结果 Logistic回归分析显示低BMD(OR=0.159)及骨水泥渗漏(OR=6.502)是术后椎体再骨折的高危因素(P<0.05)。结论严重骨质疏松以及骨水泥渗漏是引起PKP术后相邻与远节段椎体再骨折的高危因素。
Objective To analyze the risk factors of adjacent and remote vertebral refracture after percutaneous kyphoplasty（PKP）. Methods A total of 92 patients admitted in the Spine Center of the 306 th Hospital of PLA, who undergoing PKP due to osteoporotic vertebral compression fractures from January 2009 to June 2011 were retrospectively analyzed. According to the follow-up results,the patients were divided into fracture group and control group. The following clinical data were analyzed, including gender,age,bone mineral density T score,surgical vertebral body position（thoracic lumbar segment/non thoracic lumbar segment） and bone cement dosage,bone cement injection mode（single/double side）,bone cement leakage,vertebral fracture number,vertebral surgery number,postoperative VAS score,long-term glucocorticoid use history and imageological data. Results Logistic regression analysis showed that lower BMD（OR=0.159） and the incidence of bone cement leakage（OR=6.502）were high risk factors of vertebral refracture（P〈0.05）. Conclusion Severe osteoporosis and bone cement leakage are high risk factors of adjacent and remote vertebral refracture after PKP.
出处
《颈腰痛杂志》
2014年第6期414-418,共5页
The Journal of Cervicodynia and Lumbodynia
