[1]陈晓东,杨洪杰△,杨克兴,等.骨水泥强化椎弓根螺钉锚定技术治疗Ⅱ/Ⅲ型迟发性创伤后缺血性椎体骨坏死病[J].中国中医骨伤科杂志,2024,32(11):72-75.[doi:10.20085/j.cnki.issn1005-0205.241114]
　CHEN Xiaodong,YANG Hongjie,YANG Kexing,et al.Cement-Reinforced Pedicle Screw Anchoring Technique for the Treatment of Type Ⅱ/Ⅲ Ischemic Vertebral Osteonecrosis Disease after Delayed Trauma[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2024,32(11):72-75.[doi:10.20085/j.cnki.issn1005-0205.241114]
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骨水泥强化椎弓根螺钉锚定技术治疗Ⅱ/Ⅲ型迟发性创伤后缺血性椎体骨坏死病()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第32卷
期数:
2024年11期
页码:
72-75
栏目:
临床报道
出版日期:
2024-11-15

文章信息/Info

Title:
Cement-Reinforced Pedicle Screw Anchoring Technique for the Treatment of Type Ⅱ/Ⅲ Ischemic Vertebral Osteonecrosis Disease after Delayed Trauma
文章编号:
1005-0205(2024)11-0072-04
作者:
陈晓东1; 杨洪杰1△; 杨克兴2; 韩涛2
1深圳市罗湖区中医院(广东 深圳,518001)
2中国中医科学院望京医院
Author(s):
CHEN Xiaodong1; YANG Hongjie1△; YANG Kexing2; HAN Tao2
1Shenzhen Luohu District Hospital of Traditional Chinese Medicine,Shenzhen 518001,Guangdong China; 2Wangjing Hospital,China Academy of Chinese Medical Sciences,Beijing 100102,China.
关键词:
椎弓根钉锚定;  骨水泥强化术;  迟发性创伤后缺血性椎体骨坏死病
Keywords:
pedicle screw anchoring;  bone cement augmentation;  Kü; mmell's disease
分类号:
R681.5
DOI:
10.20085/j.cnki.issn1005-0205.241114
文献标志码:
B
摘要:
目的:探讨Ⅱ/Ⅲ型迟发性创伤后缺血性椎体骨坏死病(Kümmell's病)应用骨水泥强化椎弓根螺钉锚定技术治疗的临床疗效。方法:回顾性分析32例Ⅱ/Ⅲ型迟发性创伤后缺血性椎体骨坏死病患者资料,其中男 12例,女 20例; 年龄为61～85岁,病程为3～12个月。所有患者均采用骨水泥强化椎弓根螺钉锚定技术进行治疗,评估手术持续时间、术中出血量及并发症发生率; 比较术前及术后不同时间点视觉模拟量表(VAS)评分、Oswestry功能障碍指数(ODI)及后凸 Cobb 角。结果:所有患者均获随访至术后3个月。手术时间为(42.8±13.4)min,术中出血量为(52.5±5.4)mL。术后未出现感染及骨水泥松动病例。术后各时间点VAS评分及ODI评分低于术前,差异有统计学意义(P<0.05); Cobb 角小于术前,差异有统计学意义(P<0.05)。患者疼痛明显改善,生活质量明显提高。结论:骨水泥强化椎弓根螺钉锚定技术治疗Ⅱ/Ⅲ型Kümmell's 病简便有效,并能降低术后并发症,值得临床推广应用。
Abstract:
Objective:To investigate the clinical effect of bone cement-reinforced pedicle screw anchoring technique in the treatment of type Ⅱ/Ⅲ delayed post-traumatic ischemic vertebral osteonecrosis(Kümmell's disease).Methods:A total of 32 patients with type Ⅱ/Ⅲ Kümmell's disease were retrospectively analyzed,including 12 males and 20 females.The age ranged from 61 to 85 years.The disease duration ranged from 3 to 12 months.All patients with bone cement to strengthen pedicle screw anchoring technique treatment,duration of surgery,intraoperative blood loss,and complications.The visual analogue scale(VAS),Oswestry disability index(ODI)and kyphosis Cobb angle were compared before and after operation.Results:All patients were followed up to 3 months after operation.The operation time was(42.8±13.4)min,the intraoperative blood loss was(52.5±5.4)mL.No infection or loosening of bone cement occurred after operation.After each time point of VAS score,ODI score is lower than the preoperative(P<0.05),Cobb angle is less than the preoperative(P<0.05).The pain was significantly improved and the quality of life was significantly improved.Conclusion:The bone cement to strengthen the pedicle screw anchoring technology treatment Ⅱ/Ⅲ type Kümmell's disease has a simple and effective,and can effectively reduce the postoperative complications,worthy of further popularization and application in clinic.

参考文献/References:

[1] LI K C,WONG T U,KUNG F C,et al.Staging of Kümmell's disease[J].J Musculoskel Res,2004,8(1):43-55.
[2] LI H,LIANG C Z,CHEN Q X.Kümmell's disease,an uncommon and complicated spinal disorder:a review[J].J Int Med Res,2012,40(2):406-414.
[3] 秦文,陆文江,叶静,等.后路手术对脊柱胸腰段骨折患者椎体前缘高度比、椎体后缘高度及 VAS 评分的影响[J]广东医学,2017,38(2):85-86.
[4] 李华,齐明,王新宽,等.PVP术后患者疼痛缓解与功能恢复的相关研究[J].中国骨与关节损伤杂志,2018,33(3):244-247.
[5] 穆晨晨,拓源,贾帅军,等.综合保守方法治疗Kummell病的临床研究[J].中国矫形外科杂志,2019,27(7):577-581.
[6] 吕游,张超,刘玥.阶梯序贯式椎体成形术在Kummell病治疗中的临床应用[J].中国骨与关节杂志,2024,13(1):17-20.
[7] 罗学勤,陆青.高粘度骨水泥椎体成形术治疗无神经症状Ⅲ期Kummell病的临床疗效[J].颈腰痛杂志,2023,44(2):293-294.
[8] 陈述伟,谈仁渊,雷宜松,等.骨水泥网袋结合椎弓根锚定技术治疗Ⅲ期可复性Kummell病[J].临床外科杂志,2023,31(11):1081-1084.
[9] 姜泳,关天民,慈元,等.机器人辅助下经椎间孔穿刺椎体成形术治疗重度压缩Kummell病的效果[J].中国医药报,2024,21(9):91-94.
[10] ZHANG C,WANG G,LIU X,et al.Failed percutaneous kyphoplasty in treatment of stage 3 Kümmell's disease:a case report and literature review[J].Medicine(Baltimore),2017,96(47):e8895.
[11] TSAI T T,CHEN W J,LAI P L,et al.Polymethylmethacrylate cement dislodgment following percutaneous vertebroplasty:a case report[J].Spine(Phila Pa 1976),2003,28(22):E457-E460.
[12] 唐永超,莫国业,张顺聪,等.经皮椎体强化术治疗无神经症状Kümmell病的中长期疗效[J].中国脊柱脊髓杂志,2018,28(1):38-43.
[13] JEONG Y H,LEE C J,YEON J T,et al.Insufficient penetration of bone cement into the trabecular bone:a potential risk for delayed bone cement displacement after kyphoplasty[J].Reg Anesth Pain Med,2016,41(5):616-618.
[14] 陈鑫,袁智锐,王锋,等.后路经椎弓根截骨治疗胸腰段Ⅲ期kummell病的临床疗效[J].黑龙江医药,2020,33(3):632-634.
[15] 吴瑞,王博,周纪平,等.有限截骨矫形手术治疗3期骨质疏松性椎体骨折骨不连[J].中国中医骨伤科杂志,2021,29(3):75-78.
[16] 李伟,楼宇梁,全仁夫.脊柱后路PSO截骨长节段固定治疗Kummells病伴脊柱后凸的临床疗效[J].中华老年骨科与康复电子杂志,2019,5(1):33-38.

备注/Memo

备注/Memo:
基金项目:深圳市“医疗卫生三名工程”项目(SZZYSM202101005)
△通信作者 E-mail:5187659@qq.com
更新日期/Last Update: 2024-11-05