夹心椎体小剂量骨水泥预防性强化治疗“三明治”型骨质疏松性椎体压缩骨折的临床分析

李晓华; 佘丽君; 范金鹏; 王喜; 刘永强; 齐燕; 郝志鹏

doi:10.13898/j.cnki.issn.1000-2200.2021.10.028

夹心椎体小剂量骨水泥预防性强化治疗“三明治”型骨质疏松性椎体压缩骨折的临床分析

Clinical analysis of small-dose bone cement prophylactic strengthening of sandwich vertebra in the treatment of "sandwich" osteoporotic vertebral compression fracture

摘要

摘要:
目的探讨“三明治”型骨质疏松性椎体压缩骨折（OVCF）行椎体后凸成形术时对夹心椎体进行小剂量骨水泥预防性强化的必要性。
方法选择“三明治”型OVCF行椎体后凸成形术治疗的病人58例，其中观察组29例在常规行骨折椎体后凸成形术基础上进行夹心椎体小剂量骨水泥（约2 mL）预防性强化，对照组29例未行夹心椎体强化，随访观察夹心椎体骨折情况。
结果2组术前骨密度、年龄、体质量指数方面差异无统计学意义（P>0.05）；观察组中有1例（3.45%）骨折发生，B组中有8例（27.59%）发生骨折，2组术后骨折率差异有统计学意义（χ²=4.73，P < 0.05）。
结论在常规对“三明治”型OVCF行椎体后凸成形术时，行夹心椎体小剂量骨水泥预防性强化能降低术后夹心椎体骨折风险。

Abstract:
ObjectiveTo investigate the necessities of the small-dose bone cement prophylactic strengthening of sandwich vertebra in the treatment of "sandwich" osteoporotic vertebral compression fracture during percutaneous kyphoplasty.
MethodsA total of 50 "sandwich" osteoporotic vertebral compression fracture patients treated with percutaneous kyphoplasty were selected, 29 cases were treated with the small-dose bone cement prophylactic strengthening of sandwich vertebra based on the conventional percutaneous kyphoplasty(observation group) and 20 cases were treated without sandwich vertebrula strengthening(control group).The incidence of sandwich vertebral fractures was followed up.
ResultsThe differences of the preoperative bone mineral density, age and body mass index were not statistically significant between two groups(P>0.05).One case with fracture in the observation group and 8 cases with fractures in the control group were identified, and the difference of postoperative fracture rate between two groups was statistically significant(χ²=4.73, P < 0.05).
ConclusionsIn the conventional percutaneous kyphoplasty of "sandwich" osteoporotic vertebral compression fracture, the small-dose bone cement prophylactic strengthening of sandwich vertebra can reduce the risk of postoperative sandwich vertebral fractures.

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