网袋加压椎体成形术治疗胸腰椎压缩性骨折近期疗效观察

Short-Term Efficacy of Mesh Compression Vertebroplasty for Thoracolumbar Compression Fractures

目的:观察网袋加压椎体成形术治疗胸腰椎压缩性骨折(OVCF)近期疗效及骨水泥渗漏率。方法:选取2018年6月至2020年5月本院收治的44例骨质疏松性胸腰椎压缩性骨折患者,所有患者均接受网袋加压椎体成形术治疗。比较患者治疗前、术后第1天、术后第1个月VAS评分、ODI评分、椎体前缘高度比,统计患者术后骨水泥泄漏率及并发症发生情况。结果:与治疗前比较,患者术后第1天及术后1个月VAS评分均降低,差异有统计学意义(P<0.05);术后1个月VAS评分比术后第1天降低,差异有统计学意义(P<0.05)。与治疗前比较,术后第1天及术后1个月ODI评分均降低,差异有统计学意义(P<0.05);术后1个月ODI评分比术后第1天降低,差异有统计学意义(P<0.05)。与治疗前比较,术后第1天、术后1个月椎体前缘高度均升高,差异有统计学意义(P<0.01);Cobb角均降低,差异有统计学意义(P<0.01);与术后第1天比较,术后1个月椎体前缘高度降低(P<0.05);Cobb角差异无统计学意义(P>0.05)。5例(11.36%)发生骨水泥渗漏,所有患者均未出现并发症。结论:网袋加压椎体成形术术后镇痛效果良好,并具有骨水泥泄漏率低、伤椎修复效果好的优势。

Objective:To observe the short-term efficacy of mesh compression vertebroplasty on thoracolumbar vertebral compression fracture(OVCF) and its influence on cement leakage rate. Methods:From June 2018 to May 2020, 44 patients with osteoporotic thoracolumbar vertebral compression fracture were selected. All patients were treated with mesh compression vertebroplasty. VAS score, ODI and anterior height ratio of vertebral body were compared before treatment, one day and one month after operation. Results:Compared with before treatment, the VAS scores of the patients were decreased at 1 d and 1 month after operation(P<0.05). VAS score at 1 month after operation were lower than that at 1 d after operation(P<0.05).Compared with ODI before treatment, the score decreased at 1 d and 1 month postoperatively( P<0.05). The ODI at 1 month was lower than that at 1 d(P<0.05). The height of anterior edge of vertebral body increased at 1 d and 1 month after operation(P<0.01), and the Cobb angle decreased(P<0.01). The height of anterior edge of vertebral body decreased at 1 month after operation, as compared with that 1 d after operation(P<0.05), but the Cobb angle had no significant difference(P>0.05). Cement leakage occurred in 5 patients(11.36%), and no other complication was found in all patients. Conclusion:The mesh compression vertebroplasty has satisfied analgesic control low bone cement leakage rate and repair effect of injured vertebrae.