经皮球囊扩张椎体成形术治疗203例骨质疏松性胸腰椎骨折患者临床体会

Effect of percutaneous kyphoplasty in the treatment of 203 cases of osteoporotic thoracolumbar fracture

目的探讨经皮球囊扩张椎体成形术治疗骨质疏松性胸腰椎骨折的临床效果。方法回顾性分析2012—2016年于上海新华医院崇明分院就诊的203例骨质疏松性胸腰椎骨折患者的临床资料。对患者进行0.3~2.0年的随访,比较治疗前后的视觉模拟评分、病椎前缘高度、病椎中间高度及Cobb角。结果患者治疗前的视觉模拟评分、病椎前缘高度、病椎中间高度、Cobb角分别为(6.128±0.217)分、(1.700±0.657)cm、(1.600±0.583)cm、(16.000°±0.341°);治疗后分别为(2.019±0.192)分、(2.000±0.276)cm、(1.800±0.249)cm、(14.000°±0.527°)。治疗后,各项指标均较治疗前明显改善,差异均有统计学意义(P<0.05)。结论经皮球囊扩张椎体成形术能够有效改善骨质疏松性胸腰椎骨折患者的临床症状,提高生活质量。

Objective To investigate the effect of percutaneous kyphoplasty （PKP） in the treatment of osteoporotic thoracolumbar fracture. Methods A retrospective study was performed on 203 cases of patients with osteoporotic thoracolumbar fracture who were admitted from 2012 to 2016. The patients were followed for 0. 3-2. 0 year, and the VAS score, anterior vertebral height, middle vertebral height and Cobb angle measurement were compared before and after surgery. Results The preoperative VAS score was （6. 128 ± 0. 217） ,and the postoperative VAS score was （2. 019±0. 192） ;the preoperative anterior vertebral height was （1. 700 ±0. 657） cm, and the postoperative anterior vertebral height was （ 2. 000 ± 0. 276 ） cm; the preoperative height of the middle vertebral height was （ 1. 600 ± 0. 583 ） cm, and the postoperative height of the middle vertebral height was （ 1. 800 ± 0. 249 ） cm ; the preoperative Cobb angle was （16. 000° ± 0. 341 °） , and the postoperative Cobb angle was （14. 000° ±0. 527 °）. After treatment, all indexes were signifi- cantly improved compared with those before treatment, and the difference was statistically significant （ P 〈 0. 05 ）. Conclusion PKP can improve the symptoms of low back pain and improve the quality of life of patients with osteoporotic vertebral fracture.