[1]刘延群.过伸体位复位联合弯角椎体成形术治疗老年骨质疏松性胸腰椎压缩性骨折44例[J].中国中医骨伤科杂志,2021,29(02):67-69.
　LIU Yanqun.Hyper-Extending Position Combined with Percutaneous CurvedVertebroplasty in Treating 44 Cases Elderly Patients withOsteoporotic Thoracolumbar Compression Fracture[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2021,29(02):67-69.
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过伸体位复位联合弯角椎体成形术治疗老年骨质疏松性胸腰椎压缩性骨折44例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第29卷
期数:
2021年02期
页码:
67-69
栏目:
临床报道
出版日期:
2021-02-15

文章信息/Info

Title:
Hyper-Extending Position Combined with Percutaneous CurvedVertebroplasty in Treating 44 Cases Elderly Patients withOsteoporotic Thoracolumbar Compression Fracture
文章编号:
1005-0205(2021)02-0067-03
作者:
刘延群1
1山东菏泽市中医医院骨伤科(山东 菏泽,274000)
Author(s):
LIU Yanqun1
1Department of Orthopedics and Traumatology,Heze Hospital of Traditional Chinese Medicine,Heze 274000,Shandong China.
关键词:
骨质疏松症;  胸腰椎压缩性骨折;  过伸体位复位;  弯角椎体成形术
Keywords:
osteoporosis;  thoracolumbar vertebral compression fractures;  hyper-extending position;  percutaneous curved vertebroplasty
分类号:
R683.2
文献标志码:
B
摘要:
目的:分析过伸体位复位联合弯角椎体成形术治疗老年骨质疏松性胸腰椎压缩性骨折(OVCF)患者的应用效果。方法:回顾性分析2017年5月至2018年8月收治的老年OVCF手术患者44例临床资料,均采用过伸体位复位联合弯角椎体成形术,分析围手术期相关指标,椎体高度与后凸角度、疼痛及功能障碍程度、并发症等。结果:44例患者平均手术时间(56.45±7.24)min,骨水泥注射量(4.65±0.42)mL,出血量(7.12±1.12)mL,术后住院时间(6.12±1.24)d。随访6个月,OVCF患者椎体前缘、中线高度高于手术前,后凸角度低于手术前[(18.67±3.12)mm/(12.45±1.62)mm,(18.32±2.56)mm/(11.36±1.54)mm,(8.36°±1.23°)/(27.52°±2.12°)](t=11.736,15.434,51.854,P<0.01)。视觉模拟疼痛评分(VAS)及Oswestry功能障碍指数(ODI)明显低于手术前[(1.12±0.36)/(7.16±0.52),(21.36%±4.32%)/(76.32%±4.45%)](t=63.348,58.782,P<0.05)。发生骨水泥渗漏5例(11.36%)。结论:过伸体位复位联合弯角成形术能够恢复老年OVCF患者椎体高度,矫正后凸畸形,缓解疼痛程度,改善腰部功能。
Abstract:
To analyze the effect of hyper-extending position combined with percutaneous curved vertebroplasty in treating elderly patients with osteoporotic thoracolumbar compression fracture(OVCF). Methods:Clinical data of 44 elderly patients with OVCF from May 2017 to August 2018 were retrospectively analyzed.All patients underwent hyper-extending position combined with percutaneous curved vertebroplasty therapy.Then correlative indexes of perioperative period,vertebral height and kyphosis angle,pain and dysfunction,and complications were documented.Results:Among the 44 patients,the average operative time was(56.45±7.24)min,the bone cement injection volume was(4.65±0.42)mL,the blood loss was(7.12±1.12)mL,the postoperative hospital stay was(6.12±1.24)d.The height of anterior vertebral edge and midline after 6 months were higher than that before surgery,and the kyphosis angle was lower than that before surgery [(18.67±3.12)/(12.45±1.62)mm,(18.32±2.56)/(11.36±1.54)mm,(8.36°±1.23°)/(27.52°±2.12°)](t=11.736,15.434,51.854,P<0.01).VAS and ODI were lower than that before surgery [(1.12±0.36)/(7.16±0.52),(21.36%±4.32%)/(76.32%±4.45%)](t=63.348,58.782,P<0.05),bone cement leakage was 5 cases(11.36%).Conclusion:Hyper-extending position combined with percutaneous curved vertebroplasty can restore the vertebral height of elderly OVCF patients,correct kyphosis,relieve pain,and improve lumbar function.

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更新日期/Last Update: 2021-02-15