经皮椎体成形术联合骨水泥治疗骨质疏松性椎体压缩性骨折的疗效

Clinical efficacy of unilateral and bilateral percutaneous vertebroplasty combined with high viscosity bone cement in the treatment of thoracolumbar osteoporotic vertebral compression fracture

目的:探讨胸腰椎骨质疏松性椎体压缩性骨折患者在接受高黏度骨水泥治疗时联合单侧经皮椎体成形术与双侧经皮椎体成形术的效果。方法:选取70例胸腰椎骨质疏松性椎体压缩性骨折患者,经随机数表法将全部患者分成单侧组与双侧组,各35例患者;单侧组患者接受单侧经皮椎体成形术联合高黏度骨水泥治疗,而双侧组患者则接受双侧经皮椎体成形术联合高黏度骨水泥治疗。结果:相比于双侧组,单侧组患者的术中骨水泥用量、手术时间、透视次数均明显更少(P<0.05)。相比于治疗前,两组患者治疗后的椎体前缘高度更高(P<0.05),而Cobb角则更小(P<0.05),ODI评分、VAS评分均更低(P<0.05)。结论:在选择高黏度骨水泥治疗胸腰椎骨质疏松性椎体压缩性骨折患者时,采用单侧入路能有效减少透视次数,缩短手术操作时间。

Objective:To analyze the effects of combining unilateral percutaneous vertebroplasty and bilateral percutaneous vertebroplasty on patients with thoracolumbar osteoporotic vertebral compression fractures receiving high viscosity bone cement treatment.Method:Seventy patients with osteoporotic vertebral compression fractures of the thoracolumbar spine were selected and divided into two groups according to different treatment methods,with 35 cases in unilateral group and 35 in bilateral group.Unilateral group received unilateral percutaneous vertebroplasty combined with high viscosity bone cement treatment,while Bilateral group received bilateral percutaneous vertebroplasty combined with high viscosity bone cement treatment.Result:Compared to Bilateral group,Unilateral group had significantly lower intraoperative bone cement dosage,surgical time,and fluoroscopy frequency(P<0.05).Compared to before treatment,the anterior vertebral height was higher in both groups after treatment(P<0.05),while the Cobb angle was smaller(P<0.05),and ODI and VAS scores were lower(P<0.05).Conclusion:When selecting high viscosity bone cement for the treatment of thoracolumbar osteoporotic vertebral compression fractures,using a unilateral approach can effectively reduce the number of fluoroscopy times and shorten surgical operation time.