摘要
目的:探讨骨质疏松性椎体压缩骨折采用椎体成形术治疗过程中椎体复位程度对疗效的影响。方法:自2004年10月至2007年6月,对采用椎体成形术治疗的37例(40个椎体)骨质疏松性压缩骨折进行回顾性分析,男12例,女25例;年龄48～87岁,平均(72.4±12.7)岁。对患者术前、术后及末次随访时进行VAS评分评估疼痛缓解情况,通过侧位X线片评估骨折椎体压缩及复位程度、椎体后凸角的变化。结果:所有患者获随访,平均随访时间(35.8±9.6)个月(12～47个月)。术前患者VAS评分为(8.4±1.6)分,术后第2日VAS评分为(2.1±1.2)分,与术前比较差异明显(P<0.05);末次随访时VAS评分为(1.6±0.9)分,与术前比较差异有统计学意义(P<0.05)。侧位X线片测量椎体高度情况:术前椎体前缘和中央压缩程度分别为(72.0±10.6)%、(68.0±15.6)%,术后椎体前缘和中央压缩程度为(76.0±8.6)%、(73.0±6.1)%,与术前比较均无明显差异(P>0.05)。结论:椎体成形术是治疗骨质疏松性椎体压缩骨折的一种有效的方法,可有效缓解患者的疼痛症状。即使X线显示骨折椎体未获得满意的复位,疼痛症状仍然缓解满意,骨折复位程度对疗效无明显影响。
Objective：To evaluate the effect of vertebral height restoration of vertebroplasty for osteoporotic vertebra compression fractures （VCFs）. Methods：From October 2004 to June 2007, a total of 37 patients with 40 VCFs were treated by vertebroplasty. There were 12 males and 25 females with a mean age of （72.4±12.7） years （ranged,48 to 87）. Pain easement state was evaluated by visual analog scale （VAS） before and after operation, as well as in followed-up. Preoperative and postop- erative vertebral height, kyphosis angle at fractured levels were measured on X-rays. Results：All of patients were followed-up for 12 to 47 months （averaged, 35.8±9.6）. The VAS score was 8.4± 1.6 before operative, 2.1± 1.2 at the 2rid day after operative, there were significant difference between pre-and postoperative （P〈0.05） ; the average follow-up VAS was 1.6_＋0.9, there were significant difference as compared with the preoperative （P〈0.05）. Lateral X-ray showed that the preoperative degree of verte- bral height in the of anterior and middle vertebral were （72.0±10.6） % and （68.0± 15.6） %, and postoperative were （76.0±8.6） % and （73.0±6.1）%, respectively. There were no significant difference in vertebral height between preoperative and postopera- tive. The vertebral kyphosis angle was corrected from preoperative （7.8±2.7） degree to postoperative （8.1±2.3） degree. Con- clusion：Vertebroplasty is a safe and effective method for treatment of osteoporotic VCFs,it can relieve the pain effectively. Failure to restore vertebaral height does not seem to interfere with the excellent pain management.
出处
《中国骨伤》
CAS
2012年第8期667-669,共3页
China Journal of Orthopaedics and Traumatology
关键词
骨质疏松
椎体压缩骨折
椎体成形术
外科手术
Osteoporosis
Vertebral compression fractures
Vertebroplasty
Surgical procedures,operative
