编织囊袋扩张椎体成形术在周壁破损的骨质疏松性椎体压缩骨折中的应用

    Application of braided bag dilated vertebroplasty in the treatment of osteoporotic vertebral compression fractures with periphery wall breakage

    • 摘要:
      目的观察编织囊袋扩张椎体成形术治疗周壁破损的骨质疏松性椎体压缩骨折(OVCF)的临床疗效。
      方法对30例周壁破损的OVCF病人应用编织囊袋扩张椎体成形术进行手术治疗,观察比较术前术后的疼痛VAS评分、Cobb角及椎体前缘及中段高度恢复情况、椎体后凸矫正率、骨水泥渗漏情况。
      结果术后病人疼痛明显缓解,Cobb角、病椎高度恢复及椎体后凸矫正明显,术前、术后差异具有统计学意义(P<0.05),骨水泥仅有2个椎体向上终板轻微渗漏,未引起任何反应。
      结论编织囊袋扩张椎体成形术治疗周壁破损的OVCF可明显缓解疼痛、降低骨水泥渗漏发生率、矫正Cobb角、恢复一定的椎体高度。

       

      Abstract:
      ObjectiveTo observe the clinical efficacy of braided bag dilated vertebroplasty in the treatment of osteoporotic vertebral compression fracture (OVCF) with peripheral wall breakage.
      MethodsThirty patients with OVCF with periphery wall breakage were treated surgically by braided bag dilation vertebroplasty, and the preoperative and postoperative pain VAS scores, Cobb angle and anterior and mid-vertebral body height recovery, kyphosis correction rate, and bone cement leakage were observed and compared.
      ResultsThe pain of postoperative patients was significantly alleviated, the Cobb angle and the height of the diseased vertebrae were recovered and the kyphosis correction was obvious, the preoperative and postoperative differences were statistically significant (P < 0.05), and only 2 vertebral bodies of the bone cement leaked slightly on the upper endplate, which did not cause any response.
      ConclusionsThe braided bag dilated vertebroplasty in the treatment of OVCF with peripheral wall breakage can significantly relieve pain, reduce the incidence of bone cement leakage, correct Cobb angle, restore a certain vertebral height.

       

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