目的:探讨Sky bone expander system单侧经皮椎弓根穿刺椎体后凸成形术(PKP)治疗老年骨质疏松椎体压缩骨折的效果。方法:选择老年骨质疏松单纯压缩骨折病人8例,在普通X线机电子透视引导下,采用单侧经皮椎弓根穿刺,Sky bone expander sys...目的:探讨Sky bone expander system单侧经皮椎弓根穿刺椎体后凸成形术(PKP)治疗老年骨质疏松椎体压缩骨折的效果。方法:选择老年骨质疏松单纯压缩骨折病人8例,在普通X线机电子透视引导下,采用单侧经皮椎弓根穿刺,Sky bone expander sys-tem扩张、复位压缩椎体,注入骨水泥强化椎体,观察普通X线机引导下手术操作要点、术中并发症及术后椎体高度、痛疼缓解、生活质量等。结果:手术操作均顺利完成,术中无并发症发生,术后1周病人痛疼评分(VisualAnalog Scale)由9.3降为2.8。终末评分2.9。椎体前方高度由平均压缩40%增高到70%,生活质量明显提高。结论:应用普通X线电子透视引导下应用Sky骨扩张系统单侧经皮PKP是可行的,能迅速解除痛疼症状,减少后凸畸形。展开更多
Objective： To investigate prospectively the effectiveness ofkyphoplasty with SKY bone expander system in treatment of compression fracture of thoracic/ lumbar vertebrae and correction of the deformity. Methods： Twe...Objective： To investigate prospectively the effectiveness ofkyphoplasty with SKY bone expander system in treatment of compression fracture of thoracic/ lumbar vertebrae and correction of the deformity. Methods： Twenty-five patients with thoracic/lumbar vertebral osteoporotic compression fracture were admitted to our hospital between March 2007 and March 2008, and treated by kyphoplasty with SKY bone expander system. Patient＇s pain status was rated with Visual Analogue Scale （VAS） score system 1 day before and 1 hour, 48 hours, 6 months, 12 months after surgery. In addition, Rolland-Mor- ris and Oswestry disability questionnaires （RDQ and ODI） were used for survey 1 day before and 1, 6, 12 months after surgery. Pre- and post-operative vertebral heights and Cobb＇s angles were measured based on the X-ray films and statistically analyzed. Results： There were 27 fractured vertebrae in these 25 patients. After SKY kyphoplasty, the Cobb＇s angles （9.8°±9.76°） were significantly reduced compared with preoperative angles （17.18°±9.35°, P〈0.05）, and the average improve- ment rate was 39%. Patients＇ pain VAS scores were also greatly improved after operation （P〈0.05）. Moreover, postoperative RDQ and ODI scores were significantly smaller than preoperative values （P〈0.05）. Conclusions： Kyphoplasty with SKY bone expander system provides an effective method for treating thoracic/ lumbar vertebral osteoporotic compression fracture, with the advantages of small surgical wound and short duration. It can effectively recover the anterior and medial heights of fractured vertebrae （33% and 50%, respectively）, reduce the Cobb＇s angle, quickly alleviate pain and improve patients＇ quality of life in a relatively short time period.展开更多
文摘目的:探讨Sky bone expander system单侧经皮椎弓根穿刺椎体后凸成形术(PKP)治疗老年骨质疏松椎体压缩骨折的效果。方法:选择老年骨质疏松单纯压缩骨折病人8例,在普通X线机电子透视引导下,采用单侧经皮椎弓根穿刺,Sky bone expander sys-tem扩张、复位压缩椎体,注入骨水泥强化椎体,观察普通X线机引导下手术操作要点、术中并发症及术后椎体高度、痛疼缓解、生活质量等。结果:手术操作均顺利完成,术中无并发症发生,术后1周病人痛疼评分(VisualAnalog Scale)由9.3降为2.8。终末评分2.9。椎体前方高度由平均压缩40%增高到70%,生活质量明显提高。结论:应用普通X线电子透视引导下应用Sky骨扩张系统单侧经皮PKP是可行的,能迅速解除痛疼症状,减少后凸畸形。
文摘Objective： To investigate prospectively the effectiveness ofkyphoplasty with SKY bone expander system in treatment of compression fracture of thoracic/ lumbar vertebrae and correction of the deformity. Methods： Twenty-five patients with thoracic/lumbar vertebral osteoporotic compression fracture were admitted to our hospital between March 2007 and March 2008, and treated by kyphoplasty with SKY bone expander system. Patient＇s pain status was rated with Visual Analogue Scale （VAS） score system 1 day before and 1 hour, 48 hours, 6 months, 12 months after surgery. In addition, Rolland-Mor- ris and Oswestry disability questionnaires （RDQ and ODI） were used for survey 1 day before and 1, 6, 12 months after surgery. Pre- and post-operative vertebral heights and Cobb＇s angles were measured based on the X-ray films and statistically analyzed. Results： There were 27 fractured vertebrae in these 25 patients. After SKY kyphoplasty, the Cobb＇s angles （9.8°±9.76°） were significantly reduced compared with preoperative angles （17.18°±9.35°, P〈0.05）, and the average improve- ment rate was 39%. Patients＇ pain VAS scores were also greatly improved after operation （P〈0.05）. Moreover, postoperative RDQ and ODI scores were significantly smaller than preoperative values （P〈0.05）. Conclusions： Kyphoplasty with SKY bone expander system provides an effective method for treating thoracic/ lumbar vertebral osteoporotic compression fracture, with the advantages of small surgical wound and short duration. It can effectively recover the anterior and medial heights of fractured vertebrae （33% and 50%, respectively）, reduce the Cobb＇s angle, quickly alleviate pain and improve patients＇ quality of life in a relatively short time period.
