摘要
目的探讨鲑鱼降钙素联合膨胀式椎弓根螺钉(EPS)内固定系统治疗老年骨质疏松性胸腰椎骨折的临床疗效。方法 2008年1月～2010年1月,78例老年骨质疏松性胸腰椎骨折患者在我院采用鲑鱼降钙素联合膨胀式椎弓根螺钉内固定系统进行治疗。观察治疗前后的患者情况。结果通过治疗后的分析,患者术后的椎体前缘高度和椎体后缘高度均明显的高于术前的患者的椎体前缘高度和椎体后缘高度,数据比较具有显著的差异(P<0.05);术后的Cobb’s角度明显的低于术前的Cobb’s角度,数据的比较具有显著性的差异(P<0.05)。术后的VAS评分和JOA评分以及BMD均明显的优于手术治疗前,数据比较具有显著的差异(P<0.05)。结论对于老年骨质疏松性胸腰椎骨折采取鲑鱼降钙素联合膨胀式椎弓根螺钉内固定系统进行治疗具有较好的临床效果,手术方法操作简单,术后恢复快,稳定性效果好,促进骨骼的愈合,值得临床中应用推广。
Objective To investigate the clinical effect of salmon ealcitonin combined with expandable pediele screw （EPS） internal fixation system in the treatment of senile osteoporotie thoraeolumbar fractures. Methods A retrospective analysis was carried out in 78 eases of senile osteoporotie thoraeolumbar fractures treating with salmon ealcitonin combined expandable pedicle screw internal fixation system from January 2008 to January 2010. Patients were observed before and after treatment. Results The anterior and posterior height of vertebral body after operation were significantly higher than the preoperative ones, respectively （ P 〈 0. 05 ）. The postoperative Cobb ＇ s angle was significantly lower than the preoperative one （P 〈 0.05 ）. Postoperative VAS score and JOA score and BMD were significantly better than preoperative ones （P 〈 0. 05 ）. Conclusion For senile osteoporotie thoraeolumbar fractures, the salmon caleitonin combined with expandable pedicle screw internal fixation system has a good clinical effect. The method has the advantages of simple operation, rapid postoperative recovery, high stability, promote bone healing, and the clinical application.
出处
《中国骨质疏松杂志》
CAS
CSCD
北大核心
2013年第5期491-493,499,共4页
Chinese Journal of Osteoporosis
关键词
鲑鱼降钙素
骨质疏松
胸腰椎骨折
椎弓根螺钉
临床疗效
Salmon calcitonin
Osteoporosis
Thoracolumbar fracture
Pedicle screw
Clinical effect
