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椎体后凸成形术治疗老年骨质疏松脊柱压缩骨折临床研究

  • 常磊
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  • 广东省韶关市中医院

收稿日期: 2016-11-25

  修回日期: 2016-12-02

  网络出版日期: 2017-04-04

The Clinical Study of the Treatment of Senile Osteoporotic Vertebral Compression Fractures with Percutaneous Kyphoplasty

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Received date: 2016-11-25

  Revised date: 2016-12-02

  Online published: 2017-04-04

摘要

目的 探讨老年脊柱压缩骨折采用椎体后凸成形术治疗的疗效。方法 选取82例于2014年4月至2015年4月期间我院接收的骨质疏松脊柱压缩骨折患者,均经椎体后凸成形术治疗,观察术前术后VAS评分、SF-36评分及椎体高度变化。结果 术后,患者腰背痛显著改善或消失,VAS评分显著降低(P<0.05),SF-36评分显著升高,与术前比较有明显差异(P<0.05);术后,患者骨折椎体前缘、中部高度丢失较术前明显降低(P<0.05),术后Cobb角亦明显降低(P<0.05)。结论 老年骨质疏松脊柱压缩骨折采用椎体后凸成形术治疗,可显著改善病人临床症状,恢复脊柱序列,改善功能,具有推广价值。

本文引用格式

常磊 . 椎体后凸成形术治疗老年骨质疏松脊柱压缩骨折临床研究[J]. 外科研究与新技术(中英文), 2017 , 6(1) : 30 -32 . DOI: 10.3969/j.issn.2095-378X.2017.01.009

Abstract

82 cases patients with osteoporotic vertebral compression fractures were admitted to our hospital from April 2014 to April 2015 with percutaneous kyphoplasty treatment to observe VAS score, SF-36 score, and vertebral height changes before and after the operation. Result After the operation, the lumbago and backache of patients had significantly improved or disappeared with significant dropping of VAS score (P<0.05), and significant increasing of SF-36 score. There was significant difference (P<0.05) compared with that before operation; The height of the anterior and middle height of patients’ fracture vertebral body was decreased significantly compared with pre-operation(P<0.05)and the postoperative Cobb angle was significantly reduced as well (P<0.05). Conclusion the treatment of senile osteoporotic vertebral compression fracture with percutaneous kyphoplasty can significantly improve the clinical symptoms of patients, restore the spine sequence, and improve the function so that it has the value of popularization.

参考文献

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