摘要
目的探讨经单侧椎弓根入路,椎体成形术治疗胸腰椎骨质疏松性压缩骨折的可行性及其疗效。方法采用单侧椎弓根入路椎体成形术治疗胸腰椎压缩性骨折26例,术前及术后进行视觉模拟疼痛评分、Oswestry功能障碍指数评分及影像学检查,观察其手术治疗前后的变化及并发症等情况。结果 26例患者手术均获成功,其中2节椎体发生骨水泥少量外漏,未出现脊髓及神经根损伤。视觉模拟疼痛评分由术前(8.2±1.5)分降至术后(2.6±1.3)分,Oswestry功能障碍指数评分由术前(2.78±0.62)分降至术后(1.31±0.32)分,手术前后有显著性差异(P<0.05)。结论单侧椎弓根入路椎体成形术治疗骨质疏松椎体压缩性骨折疗效较好,并发症少,且可以减少患者和术者的放射线暴露,是一种较理想的治疗方法。
Objective To explore the feasibility and efficacy of unilateral pedicle in vertebral plasty for treatment of osteoporotic vertebral compression fractures. Methods 26 cases of thoracolumbar vertebral compression fractures were treated with unilateral pedicle in vertebral plasty. Visual analogue scale（VAS） , Oswestry score and imageological examination were recorded preoperatively and postoperatively, and the changes before and after the operation were observed along with the complications. Results The opreation were successful in all cases and no significant complications were noted clinically. Leakage of a small amount of polymethylmethacrylate were observed, but there was no spinal cord or nerve root injury. After the operation, VAS score decreased from （8.2 ± 1.5 ） to （2.6 ± 1.3 ） and Oswestry score dropped from （ 2.78 ± 0.62 ） to （ 1.31 ± 0.32 ） , which indicated a siginificant difference （ P 〈 0.05 ）. Conclusion Unilateral pedicle in vertebral plasty for the treatment of osteoporotic vertebral compression fractures is a safe and effective way which contains less complications, and it can reduce the radiation exposure. Consequently, it is an ideal method for therapy.
出处
《局解手术学杂志》
2013年第3期290-292,共3页
Journal of Regional Anatomy and Operative Surgery
关键词
椎体成形术
椎骨骨折
骨质疏松
单侧椎弓根入路
vertebral plasty
vertebral fracture
osteoporosis
unilateral pedicle in vertebral plasty
