[1]薛武祥 魏桂财 郑忠△.骨水泥椎弓根附近锚定技术在椎体成形术中的应用21例[J].中国中医骨伤科杂志,2020,28(05):76-80.
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骨水泥椎弓根附近锚定技术在椎体成形术中的应用21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05期
页码:
76-80
栏目:
临床报道
出版日期:
2020-05-10

文章信息/Info

文章编号:
1005-0205(2020)05-0076-05
作者:
薛武祥1 魏桂财1 郑忠1△
1厦门大学附属福州市第二医院骨科(福州,350007)
关键词:
椎内裂隙征 经皮椎体成形术 骨水泥椎弓根 锚定技术
分类号:
R683.2
文献标志码:
B
摘要:
目的:探讨骨水泥椎弓根附近锚定技术在Kummell病椎体成形术(PVP)中的应用价值。方法:回顾性分析我院2017年1月至2018年1月Kummell病患者21例,均采用椎弓根附近骨水泥锚定技术PVP治疗; 记录手术时间、骨水泥注入量、骨水泥渗漏情况、术后1年骨水泥松动情况及椎弓根附近骨水泥尾线断裂情况; 比较术前、术后3 d及术后1年患者VAS评分、ODI指数、伤椎Cobb角改变及伤椎前壁高度恢复情况。结果:21例患者均顺利完成手术,手术时间48~65 min(55.05±4.89),骨水泥注入量4.2~7.1 mL(5.83±0.82),术中3例发生骨水泥渗漏,椎体前方和椎间盘渗漏各1例,1例椎弓根附近骨水泥尾线留置过长,未出现骨水泥渗漏至椎管等严重并发症。本组21例患者术后均获得随访12~20个月(16.10±2.39),随访期间未出现骨水泥松动、移位,骨水泥在椎弓根附近分布有序,椎体内骨水泥与双侧椎弓根附近的骨水泥呈现一体化锚定状态,与术前相比,术后3 d及术后1年VAS评分、ODI指数、伤椎Cobb角均明显降低[(7.30±0.96)分/(2.19±0.58)分、(2.06±0.54)分,(70.62±2.96)%/(28.90±2.05)%、(28.33±2.24)%,(16.12°±2.87°)/(9.94°±2.89°)、(9.66°±3.16°)](P<0.01),伤椎前壁高度明显升高[(0.35±0.10)cm/(0.85±0.08)cm,(0.91±0.07)cm](P<0.01); 术后3 d与术后1年随访上述指标差异均无统计学意义(P>0.05)。结论:骨水泥椎弓根附近锚定技术在Kummell病椎体成形术中可能会增加椎体内骨水泥的把持力,有一定临床应用价值。

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备注/Memo

备注/Memo:
通信作者 E-mail:zhengzhong822@sohu.com(收稿日期:2019-08-10)
更新日期/Last Update: 2020-05-10