单侧椎弓根穿刺球囊扩张-椎体后凸成形术治疗骨质疏松性椎体压缩骨折并发骨水泥渗漏分析.pdfVIP

· 354· 腰痛杂志2011年第32 2OIJ．VoII32No．5 · 临床 研 究 ● 单侧椎弓根穿刺球囊扩张一椎体后凸成形术治 疗骨质疏松性椎体压缩骨折并发骨水泥渗漏分析 张建党，马华松，邹德威，谭荣，彭军，刘涛，汪东，袁伟 【解放军第306医院骨三科，北京 lOOlO1) 摘要：目的 分析单侧椎弓根穿刺球囊扩张一椎体后凸成形术(BK)治疗骨质疏松性椎体压缩骨 折的骨水泥渗漏情况。方法 2007—12～2010—12采用单侧椎弓根穿刺BK治疗 96例椎体压缩性骨 折患者。男性26例，女性70例；年龄56～87岁，平均72．6岁。其中单椎体骨折77例，双椎体骨折 15 例，椎体骨折2例，四椎体骨折2例 ，共 121个椎体 ，其中T。2个，T72个 ，T 4个 ， 4个，T-o6 个，T．11个，T。25个，L．27个，L 13个，L，5个 ，k3个。结果 共8例 (8．3％)患者发生骨水泥渗 漏。其中渗漏至椎 隙3例，椎体前方 3例，沿椎弓根穿刺通道渗入根管内1例，椎管内渗漏 1例，未 HJ现脊髓或神经损伤的症状和体征。结论 单侧椎弓根穿刺BK治疗椎体压缩性骨折有一定的骨水 泥渗漏率，存在造成严重后果的并发症可能性 ，应重视骨水泥渗漏的积极预防。 关键词：经皮椎体后凸成形术；并发症；椎体压缩性骨折；骨质疏松症 中图分类号：R589 文献标识码：B 文章编号：1005—7234(2011)05—0354—03 Cementleakagefollowing unilateralballoon- kyphoplasty for osteoporotic vertebralcompres— sion fractures ZHANG Jian-dang，MA Hua-song，ZOU De—wet，eta1． (DepanmentofOrthopedics，Fhe306thHospitalofPIA，Beijing，100101，China) Abstract：Objective Toinvestigatethecementleakagefollowingunilateralballoon—kyphoplasty (BK)forosteoporotievertebralcompressionrfactures．Methods From December2007toDecember 2010．96 patientswith vertebral compression fracture underwent BK，therewere 26 males and 70 females．withtheagerangerfom 56to87years(average，72．6years)；77caseshadonelevelrfae— ture，15 cases had two levels rfacture，2 cases had three levels，2 caseshad four levels involved， therewere atotalof 121vertebrae involved，which including 2 in T6，2 in T7，4 in T8，4 in T9，6 in Tll【，11inTl1，25inTI2’27inLI，13ink ，5inL3，3inL．Thecementleakagewerereviewedret— rospeetively．Results CementleakageOCCUlTed in 8cases(8_3％)intervertebralspaceleakagein 3 cases，vertebralbody leaking anteriorly in 3 cases，foramen leakagein 1case，spinalcanalextravasa— tion in 1case；Noseriouscomplicationswerenoted．Conclusion Cementleakage may occurduring unilateralBK，whichmay cause seriousresults．Moreattention should bepaidon theprevention of cement