中国组织工程研究 ›› 2016, Vol. 20 ›› Issue (4): 534-538.doi: 10.3969/j.issn.2095-4344.2016.04.014

• 脊柱植入物 spinal implant • 上一篇    下一篇

经皮椎体成形修复非骨质疏松单节段椎体创伤性压缩骨折

张 强1,罗 谨1,杨刘柱1,李瑞龙1,李赵扉1,严鑫平2,吴 波2,梁大地1   

  1. 1贺州市人民医院脊柱骨关节外科,广西壮族自治区贺州市542899;2南方医科大学珠江医院骨科中心,广东省广州市 510280
  • 收稿日期:2015-11-30 出版日期:2016-01-22 发布日期:2016-01-22
  • 通讯作者: 罗谨,主治医师,贺州市人民医院脊柱骨关节外科,广西壮族自治区贺州市 542899
  • 作者简介:张强,副主任医师,主要从事脊柱脊髓损伤及股骨头坏死研究。
  • 基金资助:
    贺州市科学研究与技术开发计划(贺科转130309)

Percutaneous vertebroplasty repairs non-osteoporotic single-segmental vertebral traumatic compression fractures

Zhang Qiang1, Luo Jin1, Yang Liu-zhu1, Li Rui-long1,Li Zhao-fei1, Yan Xin-ping2, Wu Bo2, Liang Da-di1
  

  1. 1Department of Spinal and Joint Surgery, Hezhou City Pepole’s Hospital, Hezhou 542899, Guangxi Zhuang Autonomous Region, China; 2Department of Orthopedics, Zhujiang Hospital of Southern Medical University, Guangzhou 510280,
    Guangdong Province, China
  • Received:2015-11-30 Online:2016-01-22 Published:2016-01-22
  • Contact: Luo Jin, Attending physician, Department of Spinal and Joint Surgery, Hezhou City Pepole’s Hospital, Hezhou 542899, Guangxi Zhuang Autonomous Region, China
  • About author:Zhang Qiang, Associate chief physician, Department of Spinal and Joint Surgery, Hezhou City Pepole’s Hospital, Hezhou 542899, Guangxi Zhuang Autonomous Region, China
  • Supported by:

    the Scientific Research and Technological Development Project of Hezhou City, No.130309

摘要:

文章快速阅读:

文题释义:

压缩性骨折:一般是指前屈伤力造成椎体前半部(前柱)压缩,脊椎后部的椎弓(后柱)正常,少数有牵拉伤力损伤。椎体通常楔形变,是脊柱骨折中较多见的损伤类型。

经皮椎体成形:是指经皮通过椎弓根或椎弓根外向椎体内注入骨水泥以达到增加椎体强度和稳定性,防止塌陷,缓解疼痛,甚至部分恢复椎体高度为目的一种微创脊椎外科技术。

 

背景:经皮椎体成形是否可以用于治疗非骨质疏松单节段椎体创伤性压缩骨折尚存在争议。
目的:观察经皮椎体成形修复非骨质疏松单节段椎体创伤性压缩骨折的效果。
方法:收集贺州市人民医院在2010年3月至2013年1月行经皮椎体成形治疗创伤性非骨质疏松性椎体压缩性骨折患者20例,观察患者修复前后目测类比评分及Oswestry功能障碍指数卷表评分的变化。

结果与结论:①与修复前相比,修复后患者的目测类比评分及Oswestry功能障碍指数卷表评分明显降低,且修复后3,6,12,18个月患者的目测类比评分及Oswestry功能障碍指数卷表评分接近。②所有患者未出现不良反应及并发症。③结果提示经皮椎体成形治疗非骨质疏松单节段椎体创伤性压缩骨折具有快速缓解腰背部疼痛改善胸腰段活动度的效果。 

ORCID: 0000-0002-9852-2282(罗谨)

关键词: 骨科植入物, 脊柱植入物, 经皮椎体成形, 创伤, 椎体压缩性骨折, 非骨质疏松, 单节段, 目测类比评分, Oswestry功能障碍指数卷表评分

Abstract:

BACKGROUND: It is still controversial about whether percutaneous vertebroplasty can be as an option for treatment of non-osteoporotic single-segmental vertebral traumatic compression fractures.
OBJECTIVE: To observe the effect of percutaneous vertebroplasty in repair of non-osteoporotic single-segmental vertebral traumatic compression fractures.
METHODS: Totally 20 patients who underwent percutaneous vertebroplasty in repair of non-osteoporotic single-segmental vertebral traumatic compression fractures between March 2010 and January 2013 were collected. The variation of visual analog scale scores and the Oswestry disability index scores of patients was observed before and after the repair.
RESULTS AND CONCLUSION: (1) The visual analog scale scores and the Oswestry disability index scores of patients were significantly reduced after repair compared with those before repair, moreover, the visual analog scale scores and the Oswestry disability index scores of patients at the 3, 6, 12 and 18 months after repair were similar. (2) All patients had no adverse effects and complications. (3) These results suggest that percutaneous vertebroplasty in repair of non-osteoporotic single-segmental vertebral traumaticcompression fractures quickly