蔡进奎;罗德民;周健和;张丁城;潘和科;潘亚伟;沈晓涛;徐响阳;

• 1:武汉市第三医院
• 2:东莞康华医院

摘要(Abstract)：

[目的]介绍经皮钛网骨水泥填充治疗老年性骨质疏松性椎体压缩骨折(osteoporotic vertebral compression fractures, OVCFs)的临床技术与初步效果。[方法] 2016年5月～2018年5月,使用经皮钛网置入支撑骨水泥填充治疗OVCFs30例。术中透视定位责任椎体的双侧椎弓根,逐渐置入穿刺针,达到椎体中前1/3,将球囊带钛网支架沿外套管置入椎体内,扩张以撑开椎体恢复高度后,钛网同时释放,注入骨水泥。[结果] 30例患者均顺利完成手术。随时间推移VAS和ODI评分均显著降低,不同时间点间差异有统计学意义(P<0.05)。影像检查显示,术中正位骨水泥弥散过中线,侧位像弥散占比椎体4/5,骨水泥分布均匀。术后Beck指数和Cobb角较术前显著减小,差异有统计学意义(P<0.05)。[结论]钛网置入支撑骨水泥填充是治疗老年性OVCFs的有效方法,能较好维持强化后椎体的高度及稳定性。

关键词(KeyWords)： 老年;骨质疏松性椎体压缩骨折;椎体成形;钛网支撑

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 蔡进奎;罗德民;周健和;张丁城;潘和科;潘亚伟;沈晓涛;徐响阳;

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参考文献(References)：

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