有限截骨矫形手术治疗3期骨质疏松性椎体骨折骨不连

Clinical Efficacy of Limited Osteotomy Surgery for Treatment of Stage 3 Kummell’s Disease

目的:探讨运用有限截骨矫形手术治疗3期骨质疏松性椎体骨折骨不连的临床疗效。方法:选取2015年至2019年本科收治的30名3期骨质疏松性椎体骨折骨不连患者,运用有限截骨矫形手术进行治疗,统计其手术时间、出血量,对术前、术后及随访VAS评分、ODI评分、Cobb角数据进行比较。结果:平均手术时间为(2.65±0.39)h,平均出血量为(313.33±73.03)mL,术前Cobb角42.43°±6.66°,术后1 a Cobb角7.43°±2.25°,术前VAS评分为(6.87±1.59)分,随访VAS评分为(1.03±0.41)分,术前ODI评分为(0.718±0.113)分,随访ODI评分为(0.119±0.047)分,差异均有统计学意义(P<0.05)。术后随访植骨牢固愈合,无内固定松动断裂等情况发生。结论:有限截骨矫形手术在治疗3期骨质疏松性椎体骨折骨不连时具有良好的临床疗效,减压充分,矫形良好,融合率高,具有较好的推广价值。

Objective:To investigate the clinical efficacy of limited osteotomy for the treatment of Kummell’s disease at stage 3.Methods:30 patients with stage 3 Kummell’s disease from 2015 to 2019 were selected and treated with limited osteotomy surgery.The operation time and blood loss were counted.The data of preoperative,postoperative,follow-up VAS score,ODI score and cobb angle were compared.Results:The mean operative time was(2.65±0.39)hours.The mean blood loss was(313.33±73.03)mL.The preoperative Cobb Angle was 42.43°±6.66°,and the Cobb Angle was 7.43°±2.25°1 year after the operation.The preoperative VAS score was 6.87±1.59.The follow-up VAS score was 1.03±0.41.The preoperative ODI score was 0.718±0.113,and the follow-up ODI score was 0.119±0.047.All the differences were statistically significant(P<0.05).After the follow-up,the bone graft healed firmly,and there was no loosening or fracture of internal fixation.Conclusion:Limited osteotomy and orthopedic surgery in treating stage 3 Kummell’s disease has good clinical efficacy with full decompression,good orthopedic,high fusion rate and has good promotion value.