[1]张国博 赵辰旭.经皮后路短节段椎弓根固定结合椎体成形术治疗骨质疏松性椎体压缩性骨折[J].中国中医骨伤科杂志,2021,29(10):51-54.
　ZHANG Guobo ZHAO Chenxu.Clinical Study of Percutaneous Posterior Short Segment PedicleInstrumentation Combined with Vertebroplasty on the Treatmentof Osteoporotic Vertebral Compression Fracture[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2021,29(10):51-54.
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经皮后路短节段椎弓根固定结合椎体成形术治疗骨质疏松性椎体压缩性骨折()
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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10期
页码:
51-54
栏目:
临床报道
出版日期:
2021-10-15

文章信息/Info

Title:
Clinical Study of Percutaneous Posterior Short Segment PedicleInstrumentation Combined with Vertebroplasty on the Treatmentof Osteoporotic Vertebral Compression Fracture
文章编号:
1005-0205(2021)10-0051-04
作者:
张国博1 赵辰旭1
1甘肃庆阳市人民医院骨科(甘肃 庆阳,745000)
Author(s):
ZHANG Guobo1 ZHAO Chenxu1
1Department of Orthopaedics, Qingyang People’s Hospital, Qingyang 745000,Gansu China.
关键词:
椎弓根螺钉固定;  椎体成形术;  骨质疏松性椎体压缩性骨折
Keywords:
short segment pedicle instrumentation;  vertebralplasty;  osteoporosis vertebral compression fracture
分类号:
R683.2
文献标志码:
B
摘要:
目的:探讨经皮后路短节段椎弓根固定(SSPI)结合椎体成形术(VP)治疗骨质疏松性脊柱压缩性骨折(OVCF)的临床疗效。方法:所选病例均为胸腰椎OVCF并排除有神经症状者。采用经皮椎弓根螺钉固定结合椎体成形术,测量病椎前缘、椎体中部高度及Cobb角,采用视觉模拟评分(VAS)记录术前及术后评分变化,术后12个月随访根据改良MacNab标准评定临床疗效。结果:全部病例均手术成功,随访时间6～24个月。术后12个月根据改良MacNab标准评定临床疗效,优43 例,良2 例,可1 例。无相邻椎体骨折发生,椎体前缘高度、中部高度及Cobb角、VAS评分比较,差异有统计学意义(P<0.05)。结论:经皮SSPI结合VP治疗OVCF,二者互补,创伤小,不但有椎体复位作用,同时重建椎体高度及稳定性,可防止后期的内固定松动和矫正角度丢失,防止塌陷,缓解腰背疼痛,椎弓根螺钉无松动、退钉及断钉等并发症,更避免了术后相邻椎体骨折等危险并发症,近期临床效果满意。
Abstract:
Objective:To investigate the clinical efficacy of percutaneous posterior short segment pedicle instrumentation(SSPI)combined with vertebralplasty(VP)on the treatment of osteoporotic vertebral compression fracture(OVCF). Methods:The study of thoracolumbar OVCF except those with neurological symptoms underwent percutaneous SSPI combined with VP was performed. The anterior edge of the diseased vertebra, the height of the middle vertebra and the Cobb angle and visual analogue scale(VAS)were documented. The clinical efficacy was evaluated according to the modified MacNab standard in the follow-up one year after surgery. Results:All patients were followed up successfully for 6 to 24 months. Compared with preoperative condition,VAS score was significantly improved after surgery(P<0.05). Clinical efficacy was evaluated according to the modified MacNab standard after operation one year, and there were 43 excellent cases, 2 good cases and 1 fair case. There was no adjacent vertebral fracture occurred. There were statistically significant differences in vertebral anterior margin height, middle height, Cobb angle and VAS score. Conclusion:Percutaneous SSPI combined with VP were two complementary with a little trauma in the treatment of OVCF. They not only have the efficacy of vertebral reduction, but also can reestablish the height and stability of the vertebral body, which can prevent the loosening of internal fixation and loss of correction angle in the later period. Meanwhile, it can prevent collapse, relieve back and back pain without complication such as loosening of pedicle screws, nail retreat and broken screws, etc. It can effectively avoid the dangerous complications such as adjacent vertebral fracture after operation, and the short-term clinical efficacy is satisfied.

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备注/Memo

备注/Memo:
基金项目:庆阳市科技计划资目(QY2021A-S040)
更新日期/Last Update: 1900-01-01