[1]赵立勇 荣冬明 李伟 杨东 李先樑.经单侧肋横突穿刺入路经皮椎体后凸成形术治疗中上胸椎压缩性骨折48例[J].中国中医骨伤科杂志,2020,28(03):70-72.
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经单侧肋横突穿刺入路经皮椎体后凸成形术治疗中上胸椎压缩性骨折48例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第28卷
期数:
2020年03期
页码:
70-72
栏目:
临床论著
出版日期:
2020-03-01

文章信息/Info

文章编号:
1005-0205(2020)03-0070-03
作者:
赵立勇1 荣冬明1 李伟1 杨东1 李先樑1
1四川省中医药科学院中医研究所(四川省第二中医医院骨科) (成都,610031)
关键词:
中上胸椎骨折;  经皮椎体后凸成形术;  骨质疏松
分类号:
R683.2
文献标志码:
B
摘要:
目的:研究经单侧肋横突穿刺入路经皮椎体后凸成形术(PKP)对于中上胸椎压缩性骨折治疗的临床疗效和安全性。方法:收集2014年4月至2019年4月收治的老年中上胸椎骨质疏松性压缩性骨折(OVCF)患者临床资料,分析PKP手术穿刺方法,术前、术后第2日及末次随访的疼痛视觉模拟评分(VAS)、脊髓功能障碍指数(ODI)、椎体前缘高度变化、伤椎脊柱Cobb角变化。结果:所有患者均顺利穿刺到位,无明显并发症发生。术后第2日疼痛均较术前明显减轻,术后第2日及术后末次随访VAS评分及ODI评分较术前明显下降,差异有统计学意义(P<0.05); 术后第2日和末次随访椎体高度及Cobb角与术前比较,差异有统计学意义(P<0.05); 但术后第2日与末次随访比较差异无统计学意义(P>0.05)。结论:经单侧肋横突穿刺入路PKP手术对于中上胸椎骨质疏松性椎体压缩性骨折具有良好的治疗作用,无明显并发症,手术穿刺方法安全可靠、简单实用。

参考文献/References:

[1] PARK S B,KIM J,JEONG J H,et al.Prevalence and incidence of osteoporosis and osteoporotic vertebral fracture in korea:nationwide epidemiological study focusing on differences in socioeconomic status[J].Spine(Phila Pa 1976),2016,41(4):328-336.
[2] EICHLER M C,SPROSS C,EWERS A,et al.Prophylactic adjacent-segment vertebroplasty following kyphoplasty for a single osteoporotic vertebral fracture and the risk of adjacent fractures:a retrospective study and clinical experience[J].J Neurosurg Spine,2016,25(4):528-534.
[3] GREIG A M,BRIGGS A M,BENNELL K L,et al.Trunk muscle activity is modified in osteoporotic vertebral fracture and thoracic kyphosis with potential consequences for vertebral health[J].PLoS One,2014,9(10):102-111.
[4] YIN F,SUN Z,SONG S,et al.A comparative study on treatment of mid-thoracic osteoporotic vertebral compression fracture using percutaneous kyphoplasty with unilateral and bilateral approaches[J].Chinese Journal of Reparative and Reconstructive Surgery,2016,30(1):77-81.
[5] 宋偲茂,熊小明,万趸,等.个性化设计单侧穿刺PKP 治疗中上胸椎椎体压缩性骨折[J].现代临床医学,2018,44(5):327-329.
[6] KIM H S,KIM S W,JU C I.Balloon Kyphoplasty through Extrapedicular Approach in the Treatment of Middle Thoracic Osteoporotic Compression Fracture:T5-T8 Level[J].J Korean Neurosurg Soc,2007,42(5):363-366.
[7] WANG F,WANG L F,MIAO D C,et al.Which one is more effective for the treatment of very severe osteoporotic vertebral compression fractures:PVP or PKP?[J].J Pain Res,2018,11:2625-2631.
[8] ABE T,SHIBAO Y,TAKEUCHI Y,et al.Initial hospitalization with rigorous bed rest followed by bracing and rehabilitation as an option of conservative treatment for osteoporotic vertebral fractures in elderly patients:a pilot one arm safety and feasibility study[J].Arch Osteoporos,2018,13(1):134.
[9] 耿捷,马虎升,王雷.经肋横突沟途径椎体成形术治疗胸椎骨质疏松性压缩骨折80例[J].中国中医骨伤科杂志,2019,27(8):73-75.
[10] 李卫东,高红,崔志明,等.O臂机辅助下经皮椎体成形术治疗中上胸椎骨质疏松性压缩骨折45例[J].中国中医骨伤科杂志,2019,27(10):72-74.
[11] EBRAHEIM N A,JABALY G,XU R,et al.Anatomic relations of the thoracic pedicle to the adjacentneural structures[J].Spine(Phila Pa 1976),1997,22(14):1553-1557.
[12] VACCARO A R,RIZZOLO S J,B ALDERS TON R A,et al.Placement of pedicle screws in the thoracic spine:Part Ⅱ,an anatomical and rad iographic assessment[J].J Bone Joint Surg(Am),1995,77(8):1200-1206.
[13] 崔新刚,张佐伦,陈海松,等.胸椎椎弓根根外内固定的应用解剖学研究及其意义[J].中华创伤杂志,2005,21(10):768-772.

更新日期/Last Update: 2020-03-01