经皮椎体后凸成形术治疗老年新鲜骨质疏松性椎体压缩骨折

Percutaneous kyphoplasty for treatment of fresh osteoporotic vertebral compression fracture in elder patients

目的探讨经皮椎体后凸成形术（PKP）治疗老年新鲜骨质疏松性椎体压缩骨折（OVCF）的临床疗效。方法采用PKP治疗86例老年新鲜OVCF患者,观察手术一般情况、术后并发症情况及疗效。结果患者均获得随访,时间1-3年。VAS评分、ODI、椎体后凸Cobb角、椎体前缘及中部高度变化等5项指标术后2 d及末次随访均较术前显著改善,差异均有统计学意义（P〈0.01,P〈0.05）。未出现骨水泥椎管内渗漏、神经或神经根损伤、肺栓塞等严重并发症。结论 PKP治疗老年新鲜OVCF疗效确切,手术出血量少,并发症少,术后患者症状和体征改善显著。

Objective To investigate the clinical efficacy of percutaneous kyphoplasty（ PKP） for treatment of fresh osteoporotic vertebral compression fracture（ OVCF） in elder patients. Methods Eighty-six cases of elder patients with fresh OVCF were treated by PKP. General condition,complication and effect were compared postoperatively. Results All the cases were followed up for 1 - 3 years. Compared with the preoperative,the VAS,ODI,Cobb angle,anterior vertebral column height and middle vertebral column height at the time of postoperative 2 days and last followup were all improved significantly,the differences were statistically significant（ P〈0. 01,P〈0. 05）. There were no serious complications such as bone cement leakage,nerve or nerve root injury,pulmonary embolism. Conclusions The curative effect of PKP for treatment of fresh OVCF in elder patients is definite,surgical blood loss and postoperative complications fewer,the symptoms and signs improve significantly.