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Orbic-3D导航引导经皮微创椎弓根钉结合椎体成形治疗老年胸腰椎压缩骨折 被引量：17

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摘要 目的探讨实时术中Orbic-3D导航引导下经皮微创椎弓根钉内固定结合椎体成形治疗老年骨质疏松胸腰椎压缩骨折的手术特点及临床影像学效果。方法 2011年1月至2012年6月,对24例老年骨质疏松单节段胸腰椎压缩骨折采用实时术中Orbic-3D导航引导经皮微创椎弓根钉内固定结合椎体成形术治疗,其中男9例,女15例,年龄67～81岁。分析手术切口、手术时间、出血量、并发症、术后椎弓根钉位置、下地活动时间、住院时间、疼痛视觉模拟VAS评分及患者满意度、手术节段高度和畸形矫正维持情况等。结果手术切口长度(8.0±0.8)cm,手术时间(56.5±10.5)min,术中出血量(60.5±15.8)ml,无神经损伤等手术相关并发症。植入的96枚椎弓根钉术后CT复查均在椎弓根内,下地活动时间(2.1±0.5)d,平均随访时间14.5个月(6～24个月)。椎体高度压缩率及VAS评分术后与手术前相比有明显改善(P<0.01),末次随访与术后6个月比较维持稳定(P>0.05)。节段后凸Cobb角矫正度数术后至末次随访基本维持稳定(P>0.05)。末次随访患者满意度95.8%。所有患者随访过程X线检查无内固定松动。结论老年单节段骨质疏松胸腰椎骨折采用实时术中3D导航引导下经皮微创椎弓根钉结合椎体成形术治疗具有手术微创、安全性高、缩短术后下地活动时间、椎体高度恢复及后凸矫正明显,并能有效维持、临床效果良好、患者满意度高等效果,是治疗该类骨折的有效选择。
作者 黄彦 杨进顺 廖壮文 范子文
机构地区 广州医学院第二附属医院骨外科
出处 《中国老年学杂志》 CAS CSCD 北大核心 2013年第14期3294-3296,共3页 Chinese Journal of Gerontology
基金 广东省科技计划项目(No.2011B031800251)
关键词 骨质疏松 胸腰椎体压缩骨折 计算机辅助导航 微创 椎弓根螺钉内固定术 椎体成形术
分类号 R68 [医药卫生—骨科学]
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参考文献12

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共引文献8

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引证文献17

二级引证文献113

中国老年学杂志
2013年 第14期

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