| 刘小雷,张锦飙,孙中仪,于潇,江起庭,田纪伟,汪海滨.经皮椎体强化术的手术时机对老年骨质疏松性椎体压缩性骨折治疗效果的影响[J].脊柱外科杂志,2023,21(1):7-12. |
经皮椎体强化术的手术时机对老年骨质疏松性椎体压缩性骨折治疗效果的影响  点此下载全文 (Fulltext) |
| 刘小雷1 张锦飙2 孙中仪3 于潇1 江起庭2 田纪伟3 汪海滨1* |
1. 南京医科大学第四附属医院骨科, 南京 210031;
2. 南通大学附属南京江北医院骨科, 南京 210044;
3. 南京医科大学附属明基医院骨科, 南京 210019 |
| 基金项目：江苏省科学技术厅省基础研究计划（自然科学基金）面上项目（BK20201130） |
| DOI：10.3969/j.issn.1672-2957.2023.01.002 |
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| 摘要： |
| 目的 探讨经皮椎体强化术的手术时机对老年骨质疏松性椎体压缩性骨折（OVCF）治疗效果的影响。方法 2018年12月—2020年6月，南京医科大学第四附属医院采用椎体强化术治疗老年单节段OVCF患者148例，按照骨折至手术时间分为急性期组（≤14 d，76例）和非急性期组（> 14 d，72例）。比较2组围手术期及末次随访时各数据指标。结果 所有手术顺利完成，未发生脊髓神经损伤等并发症。所有患者随访12~24（15.42±3.84）个月。在骨水泥注入量、骨水泥弥散情况、术后椎体前缘高度（AVH）百分比、椎体中部高度（CVH）百分比及伤椎复位效果方面，急性期组优于非急性期组，差异均有统计学意义（P < 0.05）。末次随访时，2组骨密度T值、邻近椎体骨折情况，差异无统计学意义（P > 0.05）；在残余痛、椎体高度丢失、疼痛视觉模拟量表（VAS）评分、Cobb角、AVH百分比及CVH百分比方面，急性期组优于非急性期组，差异均有统计学意义（P < 0.05）。结论 急性期采用椎体强化术治疗老年单节段OVCF，可有效恢复伤椎高度，术中骨水泥弥散良好，远期随访椎体高度丢失、邻近椎体骨折及残余痛的发生率较低。 |
| 关键词：胸椎 腰椎 骨折,压缩性 骨质疏松 椎体成形术 椎体后凸成形术 |
| Effects of operation timing of percutaneous vertebral augmentation surgery on treatment of osteoporotic vertebral compression fractures in elderly Fulltext |
| Liu Xiaolei1 Zhang Jinbiao2 Sun Zhongyi3 Yu Xiao1 Jiang Qiting2 Tian Jiwei3 Wang Haibin1* |
1. Department of Orthopaedics, Fourth Affiliated Hospital of Nanjing Medical University, Nanjing 210031, Jiangsu, China;
2. Department of Orthopaedics, Nanjing Jiangbei Hospital, Nantong University, Nanjing 210044, Jiangsu, China;
3. Department of Orthopaedics, BenQ Hospital, Nanjing Medical University, Nanjing 210019, Jiangsu, China |
| Fund Project: |
| Abstract: |
| Objective To investigate the effect of the operation timing of percutaneous vertebral augmentation surgery on the treatment of osteoporotic vertebral compression fractures(OVCF) in the elderly. Methods From December 2018 to June 2020, 148 elderly patients with single-segment OVCF were treated with vertebral augmentation surgery in the Fourth Affiliated Hospital of Nanjing Medical University. According to the time from fracture to surgery, the patients were divided into acute group(≤ 14 d, 76 cases) and non-acute group(> 14 d, 72 cases). The data of the 2 groups during the perioperative period and the final follow-up were compared. Results All the operations were successfully completed without any complications such as spinal cord nerve injury. All the patients were followed up for 12-24(15.42±3.84)months. In terms of the amount of bone cement injected, the dispersion of bone cement, the percentage of anterior vertebral height(AVH), the percentage of central vertebral height(CVH), and the reduction effect of injured vertebrae, the acute group was superior to the non-acute group, and the differences were statistically significant(P < 0.05). At the final follow-up, there was no significant difference between the 2 groups in T value of bone mineral density and adjacent vertebral fracture(P > 0.05);in terms of residual pain, vertebral height loss, visual analogue scale(VAS) score, Cobb angle, AVH percentage and CVH percentage, the acute group was superior to the non-acute group, and the differences were statistically significant(P < 0.05). Conclusion Vertebral augmentation surgery for the treatment of elderly single-segment OVCF in the acute stage can effectively restore the injured vertebral height, with good bone cement dispersion, and the incidence of vertebral height loss, adjacent vertebral fracture and residual pain during long-term follow-up is low. |
| Keywords:Thoracic vertebrae Lumbar vertebrae Fractures,compression Osteoporosis Vertebroplasty Kyphoplasty |
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