孙鹏;费昊东;刘刚;于广洋;王守国;

• 1:南京医科大学附属淮安第一医院骨科

摘要(Abstract)：

[目的]探索经皮穿刺椎体成形术(percutaneous vertebroplasty,PVP)联合体位复位法治疗老年人椎体压缩性骨折(vertebral compression fractures,VCFs)的疗效。[方法]分析2014~2015年间74例老年性椎体压缩性骨折患者的资料,其中行单纯PVP治疗者35例,行PVP联合体位复位者39例。比较两组疼痛和生活功能改善情况(VAS评分、ODI评分)。测量伤椎椎体前缘高度及矢状面Cobb角,探究两种治疗方案对于后凸畸形的矫正能力。并观察骨水泥漏、再骨折等相关手术并发症的发生率。[结果]两种治疗方案均能较好的改善疼痛症状,并恢复良好的日常生活功能。术前、术后、术后1年两者在VAS、ODI评分上均无统计学差异(P>0.05)。无论术后还是术后1年,PVP联合体位复位在恢复椎体前缘高度及矢状面Cobb角均较单纯PVP组有着明显的优势(P<0.05)。骨水泥漏发生率在两种治疗方案中无明显统计学差异(P>0.05)。术后再骨折及临近节段椎体骨折发生率两者均无明显统计学差异(P>0.05)。[结论]两种治疗方案均能较好的治疗胸腰椎骨折,缓解症状,恢复日常生活功能。PVP联合体位复位能更好的恢复椎体前缘高度,纠正后凸畸形。在骨水泥漏、再骨折等并发症中,两种治疗方案无明显差异。

关键词(KeyWords)： 胸腰椎骨折;椎体压缩性骨折;经皮穿刺椎体成形术;体位复位

Abstract:

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作者(Author): 孙鹏;费昊东;刘刚;于广洋;王守国;

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参考文献(References)：

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