摘要
目的:探讨单球囊双侧扩张椎体后凸成形术治疗老年骨质疏松性椎体压缩骨折(OVCF)的临床疗效。方法:回顾性分析200～2007年采用单球囊双侧扩张椎体后凸成形术治疗老年OVCF 33例37椎,测量术前术后椎体高度和Cobb角,采用视觉模拟评分(VAS)比较患者术前术后的疼痛变化。结果:所有患者术后疼痛明显缓解或消失,VAS评分术后2d(2.8±1.2)较术前(8.3±1.3)明显改善(P<0.01):术前骨折椎体的前缘、中线相当于原椎体高度的54.28%±13.37%和60.27%±16.57%,术后恢复到82.10%±26.54%和87.92%±21.18%(P<0.05):Cobb角由术前18.3?降至术后9.7?。结论:单球囊双侧扩张椎体后凸成形术治疗老年OVCF可以有效、迅速缓解疼痛,恢复椎体高度,改善后凸畸形,疗效满意。
Objective：To investigate the clinical results of bilateral transpedicular kyphoplasty for the osteoporotic vertebral compression fractures （OVCF） with single balloon.Method：33 aged patients with 37 OVCF were managed with percutaneous bilateral transpedicular kyphoplasty with single balloon from 2005 to 2007,and were followed up retrospectively.preoperative and postoperative symptom levels,variables and complications were recorded. The vertebral height, Cobb＇s angle and pain by visual analogue scale （VAS） were measured and analyzed Resuits：The pain was alleviated or completely relieved after the operation.VAS was decreased from （8.3±1.3） pre-operation to （2.8±1.2） at 2 days after operation with a significant difference （P〈0.01）. The anterior and midline vertebral body heights increased from 54.28%±13.37%, 60.27%±16.57% pre-operation up to 82.10%±26.54%, 87.92%±21.18% post-operation （P〈0.05）, and the average correction of the Cobb＇s angle was reduced from 18.3°before operation to 9.7°after operation.Conclusions ：Bilateral transpedicular kyphoplasty with single balloon not only can provide effective pain relief and vertebral height restoration, but also can recover the Cobb＇s angle of the vertebral body. Its clinical outcome was satisfactory.
出处
《中国医药导刊》
2008年第7期1013-1015,共3页
Chinese Journal of Medicinal Guide
