经C臂机去旋转定位引导下PKP治疗伴有DS的椎体压缩骨折的疗效观察

Therapeutic Effect of PKP on the Treatment of Vertebral Compression Fractures with DS by C-arm Derotation Positioning

目的观察经C臂机去旋转定位引导下PKP治疗伴有DS的椎体压缩骨折的疗效。方法我院自2015年7月～2018年6月收治30例伴有DS畸形椎体压缩骨折的患者,采用术中经C臂机去旋转定位引导下PKP治疗。现参照术前、术后WHO疼痛分级标准,评价其治疗效果。结果手术时间50～60 min,失血量10～30 ml,随访3～12个月,优良率93.33%。无1例骨水泥渗漏至椎管损伤神经及伤口感染等并发症。结论经C臂机去旋转定位引导下PKP手术可有效治疗伴有DS的椎体压缩骨折,术中失血量少,优良率高,并发症少。

Objective To observe the effect of PKP in the treatment of vertebral compression fractures with DS by C-arm derotation.Methods From July2015to June2018,30patients with DS malformation vertebral compression fractures were treated with PKP under the guidance of C-arm machine.According to the preoperative and postoperative WHO pain grading standards,the therapeutic effects were evaluated.Results The operation time was50~60min,the blood loss was10~30ml,and the follow-up was3~12months.The excellent and good rate was93.33%.No bone cement leaked into the spinal canal nerve and wound infection and other complications.Conclusion The PKP operation guided by C-arm derotationpositioning can effectively treat vertebral compression fractures with DS.The blood loss during operation is low,the excellent rate is high,and the complications are few.