椎体成形术在椎体压缩骨折并发神经痛的临床应用

Clinical application of percutaneous vertebroplasty in vertebral compression fracture complicated by neuralgia

目的探讨经皮椎体成形术(PVP)在椎体压缩性骨折伴相应节段神经根性疼痛的临床疗效。方法回顾性分析2017年1月至2018年12月,收治的椎体压缩骨折并神经痛患者47例,所有患者在药物止痛、抗骨质疏松治疗基础上,予以PVP治疗。观察手术前和手术后1 d、1周、1个月采用视觉模拟评分(VAS)、功能障碍指数(ODI)、PD-Q量表评分,观察不良反应。结果与术前相比,术后患者VAS评分、ODI、PD-Q量表评分较术前均下降,差异有统计学意义。结论PVP不仅能部分恢复椎体压缩骨折的高度,缓解腰背痛,对伴有神经根性疼痛的患者也能缓解疼痛。

Objective To evaluate the clinical effect of percutaneous vertebroplasty(PVP)in the treatment of vertebral compression fractures associated with corresponding segmental nerve root pain.Methods The clinical data of 47 patients with vertebral compression fractures associated with neuralgia,who were admitted to authors’hospital during the period from January 2017 to December 2018,were retrospectively analyzed.On the basis of analgesic medication and anti-osteoporosis treatment,PVP was performed in all patients.Before PVP and one day,one week,one month after PVP,visual analogue scale(VAS)scores,Oswestry dysfunction index(ODI)and pain detect questionnaire(PD-Q)scale were used to assess the clinical effect,the untoward effects were recorded.Results Compared with the preoperative data,the postoperative VAS scores,ODI values and PD-Q scores were remarkably decreased,the differences were statistically significant.Conclusion PVP can not only partially restore the height of compressed vertebral body and relieve low back pain,but also relieve neuralgia degree in patients with nerve root pain.