椎体成形术结合术前复位治疗骨质疏松性椎体压缩楔形骨折.docVIP

椎体成形术结合术前复位治疗骨质疏松性椎体压缩楔形骨折 1南京中医药大学2007级(南京,210029) 2南京中医药大学附属江苏省中医院骨科 3南京医科大学附属南京市第一医院骨科 △通讯作者:王培民 ·临床研究· 椎体成形术结合术前复位治疗骨质疏松性椎体压缩楔形骨折 王均动1　王培民2△　梁斌3 [摘要]　目的:探讨椎体成形术结合术前复位治疗骨质疏松性椎体压缩楔形骨折可行性及应用价值。方法:采用椎体成 形术结合术前复位治疗骨质疏松性椎体压缩楔形骨折20例,并与同期20例经皮kyphon球囊扩张后凸成形术的患者比 较手术前后的VAS评分,伤椎椎体前中高度压缩率,后凸角度以及两组伤椎椎体前中高度恢复率。结果:所有患者的术 后椎体前中高度压缩率、后凸角度及VAS评分指数较术前均有显著的改善(P0.05);同时两组组间的伤椎前中高度恢 复率进行比较(P0.05),差异有统计学意义。结论:椎体成形术结合术前复位与球囊扩张后凸成形术都能有效的恢复伤 椎高度及后凸角,但前者在恢复伤椎椎体前缘高度上优于后者,在恢复伤椎的中间高度上弱于后者。 [关键词]　压缩性骨折;楔形骨折;胸腰椎;术前复位;椎体成形术 [中图分类号]　R683.2　　[文献标识码]　A　　[文章编号]　1005-0205(2010)02-0032-03 Preoperative Reduction in Percutaneous Vertebroplasty for Osteoporotic Vertebral Compression Wedge Fractures WANG Jundong1　WANG Peimin2　LIANGBin3 1Nanjing University of Traditional Chinese Medicine, Nanjing 210029, China 2Department of Orthopedics, Jiangsu Hospital of Traditional Chinese Medicine, Nanjing University of Traditional Chinese Medicine, Nanjing 210029, China Abstract　Objective:To explore the feasibility and clinical effect of preoperative reduction in percutaneous vertebroplasty (PVP) for the treatment of osteoporotic vertebral compression wedge fractures.Methods:Forty patients with osteoporotic vertebral compression wedge fractures were divided into two groups, one group treated with preoperative reduction com- bined with PVP, and the other group treated with preoperative reduction and percutaneous kyphoplasty (PKP). The re- sults were evaluated with visual analog scale (VAS), vertebral height loss and Cobb angle of vertebral compression frac- tures.Results:Compared with before the treatment, the vertebral height loss and Cobb angle after the operation were sig- nificantly improved in both groups (P0.05). There was also significant difference in the recovery of vertebral height be- tween the two groups (P0.05).Conclusion:The preoperative reduction in PVP and PKP is effective in the treatment of osteoporotic vertebral compression wedge fractures. Key words　Compression fracture; Wedge fracture; thoracol