摘要
目的探讨经皮椎弓根钉体外撑开结合伤椎骨水泥注入治疗中老年胸腰椎骨折的可行性、安全性及有效性。方法回顾性分析20例经皮椎弓根钉体外撑开结合伤椎骨水泥注入治疗中老年胸腰椎骨折。测量手术前后伤椎Cobb角、椎体前缘的高度丢失率。结果术前平均腰背痛VAS评分(7.2±1.6)分,ODI(52.6±16)。术后平均腰背痛VAS评分(2.4±1.6)分,ODI(21.6±9),平均腰背痛VAS和ODI均明显低于术前(P<0.01)。术前椎体前缘的丢失率(49.4±12.5)%,术后(8.2±4.9)%,末次随访时(9.2±5.1)%;术前后凸角度(18.1±4.3)°,术后后凸角度(3.5±1.9)°,末次随访时(4.2±1.8)°。椎体高度丢失率、后凸角度术后、末次随访较术前差异有统计学意义(P<0.05);末次随访与术后比较差异无统计学意义(P>0.05)。结论经皮伤椎成形术结合体外椎弓根钉撑开系统一期矫正伤椎的压缩高度及恢复正常的脊柱生理曲度,创伤小,是中老年胸腰椎骨折安全有效的治疗方法。
Objective To study the feasibility, safety and efficacy of percutaneous pedicle screws vitro distraction combined with injuried vertebrae bone cement infusion for middle-aged thoracolumbar fractures. Methods A retrospective analysis was performed on 20 patients operated for middle-aged tboracolumbar fractures by percutaneous pedicle screws vitro distraction combined with injuries vertebrae bone cement infusion. Results The average preoperative VAS score for radicular pain and ODI were （7.2±1.6） and （52.6±16）. The patients had an average VAS of （2.4±1.6） for low bank pain and an average ODI of （21.6±9） afer the operation. The improvements in VAS and ODI were statistically significant （P 〈0.01）. Preoperative vertebral loss rate was （49.4±12.5） percent, postoperative （8.2±4.9）, the last follow-up （9.2±5.1）; the convex angles before and after surgery was （18.1±4.3）°, postoperative （3.5±1.9）° ,last follow-up （4.2±1.8）°. Vertebral height loss rate, kyphosis angle after the last follow-up were significantly improved after operation. The difference was statistically significant （P 〈0.05）; final follow-up after surgery no significant difference was not stat/stically significant （P 〉0.05）. Conclusion Percutaneous pedicle screws vitro distraction combined with injuried vertebrae bone cement infusion is effective and safe treatment for the elderly thoraeolumbar fractures.
出处
《中国骨与关节损伤杂志》
2013年第7期614-616,共3页
Chinese Journal of Bone and Joint Injury
基金
河北省2011年医学适用技术跟踪项目(GL2011-78)
关键词
胸腰椎骨折
经皮椎弓根钉
椎体成形术
骨水泥
Thoracolumbar fractures
Percutaneous pedicle screws
Vertebroplasty
Bone cement
