手法复位结合经皮椎体后凸成形术治疗骨质疏松性椎体骨折60例

Manual Reduction Combined with Percutaneous Kyphoplasty in Treatment of Osteoporotic Vertebral Fracture for 60 Casesa

目的观察分析手法复位结合经皮椎体后凸成形术治疗骨质疏松性椎体骨折的临床疗效。方法选取我院2012—2013年收治的60例骨质疏松性胸椎压缩骨折的患者,实行手法复位结合经皮椎体后凸成形术的临床治疗。并且采用Cobb角度数、疼痛视觉模拟评分法以及椎体高度压缩率等指标来分析治疗效果。结果我院对所有病例进行了随访,经检查发现患者术后腰背疼痛有了明显缓解,椎体高度也得到了有效恢复。在Cobb角度数、疼痛视觉模拟评分法以及椎体高度压缩率等指标上,患者术后1天、术后3个月、术后12个月的检查指标都明显优于术前,差异具有统计学意义(P<0.05)。术后随访的患者中,只有2例出现了骨水泥渗漏的情况。所有患者都没有发生骨水泥压迫神经根、脊髓等并发症,并且椎体高度没有再次明显丢失。结论手法复位结合经皮椎体后凸形术在临床治疗骨质疏松性椎体骨折患者上,可以达到明显缓解疼痛、减小后凸畸形以及恢复椎体高度的疗效,应当在临床上推广应用。

Objective To study the effect of manual reduction combined with percutaneous kyphoplasty in treatment of osteoporotic verte-bral fracture. Methods Selected 60 cases of osteoporotic thoracic vertebrae compression fracture treated with manual reduction combined with percutaneous kyphoplastyin our department. Analyze the therapeutic effect by Cobb angle,pain visual analogue score, vertebral com-pression rate and other indicators. Results Followed in all cases,the inspection found in patients with low back pain had been relieved,vertebral height had also been effective recovery. The Cobb angle, the pain visual analogue score,vertebral compression rate and other in-dicators of patients after 1 days, 3 months and 12 months after operationwere significantly better than preoperative, with statistically sig-nificant differences（ P〈0.05）. The patients were followed up after operation, only 2 patients had a bone cement leakage situation. All patients had not occurred bone cement nerve root,spinal cord and other complications,and no significant loss of vertebral height again.Conclusion Manual reduction combined with percutaneous kyphoplasty in treatment of osteoporotic vertebral fracturecan achieve signifi-cant pain relief, reduce kyphosis and restore the efficacy of vertebral body height, should be applied in clinic.