组织工程与重建外科杂志

组织工程与重建外科杂志 ›› 2009, Vol. 5 ›› Issue (2): 99-101.doi: 10.3969/j.issn.1673-0364.2009.04.012

• 论著 • 上一篇    下一篇

过伸复位结合经皮椎体后凸成形术治疗骨质疏松性椎体骨折

王森，王翔，沙良宽，张霞，侯勇   

  1. 枣庄矿业集团中心医院骨科;山东大学齐鲁医院骨创科;
  • 发布日期:2020-07-23

Application of Percutaneous Kyphosplasty in the Treatment of Osteoporotic Vertebral Body Compression Fractures

WANG Sen1,WANG Xiang1,SHA Liangkuan1,ZHANG Xia1,HOU Yong2   

  1. 1 Department of Orthopedic Surgery;General Hospital;Zaozhuang Mining industry Group;Zaozhuang 277011;China;2 Department of Orthopedic and Traumatic Surgery;Qilu Hospital;Shandong University;Jinan 250001;
  • Published:2020-07-23

摘要： 目的探讨过伸复位结合经皮椎体后凸成形术治疗骨质疏松性椎体压缩骨折的临床效果及注意事项。方法对25例骨质疏松性椎体骨折患者(共43个椎体),在C型臂X线机透视下行过伸复位结合经皮经椎弓根球囊扩张注入骨水泥椎体后凸成形术。对术前、术后1d和术后6个月的椎体高度、Cobb′s角和疼痛评分等进行评估。结果术后23例胸背部疼痛消失,2例疼痛明显减轻,未出现神经系统损伤及肺栓塞等并发症。术后随访6～12个月,平均9.2个月,所有患者腰背痛症状均无复发,X线片示24例椎体高度未丢失,1例有邻近椎体再骨折发生。椎体高度、Cobb′s角较术前有显著改善。结论过伸复位结合经皮椎体后凸成形术具有微创、安全、临床疗效良好的优点,是治疗骨质疏松性椎体压缩骨折理想方法之一。临床应用时,应注意严格掌握适应证、适当扩张球囊、灌注骨水泥等技术要点,以避免严重并发症的发生。

关键词: 过伸复位, 经皮椎体后凸成形术, 椎体压缩骨折, 骨质疏松症

Abstract: Objective To assess the efficacy of hyperextension reduction with percutaneous kyphosplasty(PKP) in the treatment of osteoporotic vertebral compression fractures(OVCF).Methods 43 vertebral osteoporotic vertebral compression fractures in 25 patients were treated with percutaneous kyphosplasty by injected Polymethylmethacrylate(PMMA) under C-arm shape fluoroscopy monitoring.The data of the vertebral heights and Cobb angle were analyzed before and post operation.Results All patients tolerated the procedure wel...

Key words: Hyperextension reduction, Percutaneous kyphosplasty（PKP）, Vertebral body compression fracture, Osteoporosis

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