中国组织工程研究

中国组织工程研究 ›› 2012, Vol. 16 ›› Issue (21): 3823-3827.doi: 10.3969/j.issn.1673-8225.2012.21.006

• 组织工程骨及软骨材料 tissue-engineered bone and cartilage materials • 上一篇    下一篇

经皮聚甲基丙烯酸甲酯骨水泥椎体成形结合手法牵引复位治疗骨质疏松性胸腰椎压缩骨折★

周英杰，赵  刚，李  森，郑怀亮，赵鹏飞   

  1. 河南省洛阳正骨医院河南省脊柱外科治疗中心，河南省洛阳市   471002
  • 收稿日期:2012-02-10 修回日期:2012-03-28 出版日期:2012-05-20 发布日期:2012-05-20
  • 作者简介:周英杰★，男，1965年生，河南省宜阳县人，汉族，1989年郑州大学毕业，硕士，主任医师，主要从事脊柱外科研究。lyzgzyj@yahoo.com.cn

Bone-setting manipulation combined with percutaneous vertebroplasty using polymethylmethacrylate for treatment of osteoporotic thoracolumbar vertebral compression fractures

Zhou Ying-jie, Zhao Gang, Li Sen, Zheng Huai-liang, Zhao Peng-fei   

  1. Treatment Center for Spinal Surgery, Luoyang Orthopedic- Traumatological Hospital, Luoyang  471002, Henan Province, China
  • Received:2012-02-10 Revised:2012-03-28 Online:2012-05-20 Published:2012-05-20
  • About author:Zhou Ying-jie★, Master, Chief physician, Treatment Center for Spinal Surgery, Luoyang Orthopedic- Traumatological Hospital, Luoyang 471002, Henan Province, China lyzgzyj@yahoo.com.cn

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摘要：

背景：目前经皮椎体成形及后凸椎体成形已经较为广泛的应用于临床，成为治疗老年骨质疏松性胸腰椎椎体压缩骨折的较为理想的方法。
目的：比较手法牵引复位结合椎体成形与经皮后凸椎体成形治疗骨质疏松性椎体压缩骨折的效果。
方法：将59例骨质疏松性胸腰椎压缩骨折患者本着知情同意、自愿入组的原则分为2组，手法结合经皮椎体成形组38例采用手法结合经皮椎体成形治疗；经皮后凸椎体成形组21例采用经皮后凸椎体成形治疗。比较两组手术前后伤椎前缘高度、中央高度、疼痛目测类比评分、Cobb角及住院费用等指标。
结果与结论：两组患者手术后伤椎前缘高度、中央高度、疼痛目测类比评分、Cobb角与术前比较均有改善(P < 0.05)；手术前后两组间比较差异无显著性意义(P > 0.05)。手法结合经皮椎体成形组患者手术费用显著低于经皮后凸椎体成形组(P < 0.05)。表明手法牵引复位结合经皮椎体成形治疗骨质疏松性椎体压缩骨折症状、体征均有显著疗效，并能节约手术费用，可以作为老年患者骨质疏松性椎体压缩骨折的首选治疗方法。

关键词: 压缩骨折, 骨质疏松, 经皮椎体成形, 经皮后凸椎体成形, 手法牵引

Abstract:

BACKGROUND: Percutaneous vertebroplasty technique and kyphosis vertebroplasty have been more widely used in clinic, which is considered as the ideal treatment for osteoporotic thoracolumbar vertebral compression fractures.
OBJECTIVE: To observe the clinical effects of bone-setting manipulation combined with percutaneous vertebroplasty versus percutaneous kyphosis vertebroplasty on osteoporotic thoracolumbar vertebral compression fractures.
METHODS: Totally 59 cases with osteoporotic thoracolumbar vertebral compression fractures were divided into A and B group: A group was treated with bone-setting manipulation combined with percutaneous vertebroplasty, including 38 cases; B group received treatment with percutaneous kyphosis vertebroplasty, including 21 cases. The clinical therapeutic effects of the two groups were compared by observing the changes in anterior vertebral height, central vertebral height, visual analogue scale scoring, Cobb angle, fees and so on.
RESULTS AND CONCLUSION: Anterior vertebral height, central vertebral height, visual analogue scale scoring, Cobb angle in the two groups were significantly improved after treatment (P < 0.05), but there was no significant difference between the two groups (P > 0.05). The fees in the A group were significantly lower than those in the B group (P < 0.05). Bone-setting manipulation with percutaneous vertebroplasty versus percutaneous kyphosis vertebroplasty has a certain effect, and can relieve fees, which can be selected as the preferred treatment for osteoporotic thoracolumbar vertebral compression fractures in the elderly.

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