体位复位联合经皮球囊扩张椎体成形术治疗骨质疏松性椎体压缩骨折

Position reduction combined with percutaneous kyphoplasty in treatment of osteoporotic vertebral compression fractures

目的评价体位复位联合经皮球囊扩张椎体成形术(PKP)治疗骨质疏松性椎体压缩骨折的临床疗效。方法对50例骨质疏松性椎体压缩骨折患者行体位复位联合PKP治疗。手术前后分别测量椎体前缘、中线、后缘高度及Cobb角;比较手术前后疼痛VAS评分情况。结果患者均获得随访,时间12个月。术后患者VAS评分、Cobb角均较术前明显改善(P<0.05)。术后椎体前缘、中线、后缘高度均明显高于术前,差异均有统计学意义(P<0.05),术后12个月椎体高度较术后无明显变化(P>0.05)。结论体位复位联合PKP治疗骨质疏松性压缩骨折疗效显著,操作简单,安全可靠。

Objective To evaluate the clinical effect of postural reduction combined with percutaneous kyphoplasty（ PKP） in the treatment of osteoporotic vertebral compression fractures. Methods Fifty patients with osteoporotic vertebral compression fractures were treated with postural reduction combined with PKP. Before and after surgery,the anterior,midline and posterior margin height of the vertebral body were measured,and the Cobb angle,pain VAS were compared before and after operation. Results All patients were followed up for 12 months. Postoperative VAS,Cobb angle were significantly improved（ P〈0. 05）. The height of anterior,midline and posterior edge of verebral body were significantly higher than those before operation,differences were statistically significant（ P〈0. 05）; compared with the postoperation,they were not obviously changed at 12 months postoperation（ P〈0. 05）. Conclusions Postural reduction combined with PKP in the treatment of osteoporotic vertebral compression fractures has significant effect,simple operation,safety and reliability.