| 王栋琪,汪兵,贺宝荣.骨质疏松性椎体压缩骨折行单双侧椎体后凸成形术的对比研究[J].脊柱外科杂志,2013,11(1):8-12. |
骨质疏松性椎体压缩骨折行单双侧椎体后凸成形术的对比研究  点此下载全文 (Fulltext) |
| 王栋琪 汪兵 贺宝荣 |
| 710054 陕西, 西安交通大学医学院附属红会医院脊柱外科;710054 陕西, 西安交通大学医学院附属红会医院脊柱外科;710054 陕西, 西安交通大学医学院附属红会医院脊柱外科 |
| 基金项目： |
| DOI：10.3969/j.issn.1672-2957.2012.06.002 |
| 摘要点击次数: 1573 |
| 全文下载次数: 3 |
| 摘要： |
| 目的 评价单、双侧经皮椎体后凸成形术（percutaneous kyphoplasty，PKP）治疗腰椎骨质疏松性椎体压缩性骨折（osteoporotic vertebral compression fractures，OVCF）的差异。方法 回顾性分析2008年7月~2010年2月127例经单侧或双侧椎弓根行PKP治疗的OVCF患者，采用疼痛视觉模拟量表（visual analog scale，VAS）评分、活动能力评分、Cobb角度及椎体高度恢复率比较分析。结果 术所有患者疼痛均缓解，随访>12个月。2组手术前后VAS评分、活动能力评分和Cobb角的差异均有统计学意义（P<0.05）。2组手术前后椎体前缘、中柱高度差异有统计学意义（P<0.05），但后缘高度变化差异无统计学意义（P>0.05）。末次随访时，椎体前缘、中柱和后缘高度与术后相比较差异无统计学意义（P>0.05）；2组间比较差异均无统计学意义（P>0.05）。结论 单双侧PKP治疗OVCF均可取得满意的治疗效果，而单侧PKP手术时间更短、骨水泥渗漏率更低。 |
| 关键词：腰椎 脊柱骨折 骨质疏松 椎体成形术 |
| Comparison of percutaneous kyphoplasty between unilateral and bilateral approach in treatment of osteoporotic vertebral compression fractures Fulltext |
| WANG Dong-qi WANG Bing HE Bao-rong |
| Department of Spinal Surgery，Honghui Hospital, Xi'an Jiaotong University College of Medicine，Xi'an 710054，Shannxi，China;Department of Spinal Surgery，Honghui Hospital, Xi'an Jiaotong University College of Medicine，Xi'an 710054，Shannxi，China;Department of Spinal Surgery，Honghui Hospital, Xi'an Jiaotong University College of Medicine，Xi'an 710054，Shannxi，China |
| Fund Project: |
| Abstract: |
| Objective To evaluate the difference of curative effects of percutaneous kyphoplasty (PKP) between unilateral and bilateral for osteoporotic vertebral compression fractures (OVCF).Methods A total of 127 patients with OVCF operated by PKP from July 2008 to February 2010 were retrospectively analysed, and they were divided into 2 groups on the basis of unilateral and bilateral PKP. Visual analog scale (VAS) score, locomotor activity, Cobb's angle and recovery rate of vertebral body height were corresponding recorded and analyzed.Results All patients received more than 1 year follow-up and alleviated pain well postoperatively. Between pre-and post-operation, the differences of the mean visual analogue scales, locomotor activity and Cobb's angle were statistically significant in 2 groups (P<0.05). The differences of height of anterior border and center pillar between pre-and post-operation were statistically significant in 2 groups (P<0.05), but the difference of height of posterior border weren't statistically significant(P>0.05). Compared with post-operation, the differences of the above-mentioned index weren't statistically significant at the final follow-up(P>0.05). The differences of the curative effects weren't statistically significant between 2 groups(P>0.05).Conclusion corresponding in above-mentioned index, there were no statistical significance differences. Conclusion Both unilateral and bilateral PKP in treatment of OVCF can obtain satisfactory therapeutic effects; but in the treatment by unilateral PKP, the operation time is shorter and bone cement leakage rate is lower. |
| Keywords:Lumbar vertebrae Spinal fractures Osteoporosis Vertebroplasty |
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