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膨胀式椎弓根螺钉联合椎骨体水泥强化治疗骨质疏松性胸腰椎压缩性骨折的临床疗效研究 被引量：9

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摘要 目的:观察使用膨胀式椎弓根螺钉联合骨体水泥对改善骨质疏松椎骨体固定强度的效果。方法:选取2007年6月至2010年5月间在我院骨科就医的80例因骨质疏松所致的椎体压缩性骨折患者,根据手术材料不同分为2组,每组40例。cemented-CPS组使用水泥强化传统椎弓根螺钉,cemented-EPS组使用水泥强化膨胀式椎弓根螺钉EPS。所有患者均接受后路减压和椎体融合术。术后使用X线平片和(或)CT扫描评估椎体融合程度以及固定效果。结果:临床结果显示所有患者均有严重骨质疏松。手术后6个月cemented-EPS组患者的JOA从(11.4±2.6)mm提高到(28.9±1.6)mm;VAS得分从(7.0±1.4)分降低到(2.1±1.3)分。cemented-EPS组患者没有出现螺钉松动的现象并且脊柱融合良好。cemented-CPS组有14枚螺钉(7.1%)出现松动。术后6个月JOA和VAS得分分别从(13.1±1.9)分和(7.6±1.5)mm提高到(20.8±2.2)分和(2.5±1.6)mm。两组患者均未出现水泥渗漏到椎管的现象。结论:cemented-EPS能提高固定强度,降低严重骨质疏松患者螺钉松动发生率。
作者 刘克骏 米明珊
机构地区 青海大学附属医院脊柱外科
出处 《实用医学杂志》 CAS 北大核心 2015年第8期1285-1287,共3页 The Journal of Practical Medicine
关键词 骨质疏松 椎弓根螺钉 固定强度
分类号 R687.3 [医药卫生—骨科学]
  • 相关文献

参考文献8

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共引文献25

同被引文献105

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引证文献9

二级引证文献42

实用医学杂志
2015年 第8期

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