椎体后凸成形术对老年骨质疏松椎体压缩骨折邻近椎间盘退变的影响

Effect of vertebral body and posterior convex on the adjacent intervertebral disc degeneration in the elderly with osteoporotic vertebral compression fractures

目的回顾性分析椎体后凸成形术术后椎体相邻椎间盘退变情况。方法回顾性分析我院179例因骨质疏松椎体骨折患者,将其分为椎体后凸成形手术治疗组(97例)和保守治疗组(82例),两组患者术后随访12个月。结果手术组与保守组在年龄、性别、体重、Cobb角、骨密度值比较差异均无统计学意义(P>0.05),椎间盘退变病例手术组与保守组比较差异有统计学意义(P<0.05);手术患者中退变组与非退变组在例数、年龄、体重、骨水泥注入量、Cobb角度比较差异均无统计学意义(P>0.05)。结论经皮椎体后凸成形术可加速邻近椎间盘的退变,其影响程度与患者性别、年龄、体重、骨水泥量无关,可能与手术操作本身有关。

Objective To retrospectively analyze the degeneration of adjacent intervertebral disc after percutaneous kyphoplasty（PKP）. Methods A retrospective analysis of 179 patients with vertebral fractures due to osteoporosis was conducted. The patients were divided into kyphoplasty surgery group （97cases） and conservative treatment group （82 cases）, two groups of patients were followed up for 12 months. Results The age, sex, weight, Cobb angle, BMD-T had no statistically significant differences between the two groups （P〉0.05）, disc degeneration patients between operation group and conservative group had statistically significant difference （P〈0.05）. Surgery in patients with degenerative group and nondegenerative group back in the number of cases, age, weight, bone cement injection amount, Cobb angle had no statistically significant differences（P〉0.05）. Conclusion It is possible to accelerate the degeneration of adjacent intervertebral disc by PKP, the influence degree of the patients＇ gender, age, body weight, bone cement volume has nothing to do, may be related to the operation of the operation itself.