[1]李穗鸥①,杨波**,尹飚,等.经皮椎体成形术或经皮后凸成形术治疗合并脊柱侧凸的脊柱压缩性骨折[J].中国微创外科杂志,2018,18(3):244-248.
　Li Suiou,Yang Bo*,Yin Biao*,et al.Percutaneous Vertebroplasty or Percutaneous Kyphoplasty for the Treatment of Spinal Compression Fracture Combined With Scoliosis[J].Chinese Journal of Minimally Invasive Surgery,2018,18(3):244-248.
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经皮椎体成形术或经皮后凸成形术治疗合并脊柱侧凸的脊柱压缩性骨折()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
18
期数:
2018年3期
页码:
244-248
栏目:
临床研究
出版日期:
2018-05-01

文章信息/Info

Title:
Percutaneous Vertebroplasty or Percutaneous Kyphoplasty for the Treatment of Spinal Compression Fracture Combined With Scoliosis
作者:
李穗鸥①; 杨波**; 尹飚; 杨富国; 王簕; 李建生
广州医科大学附属第三医院骨科，广州510510
Author(s):
Li Suiou;  Yang Bo*;  Yin Biao*;  et al.
*Department of Orthopedics, Third Affiliated Hospital of Guangzhou Medical Uninversity, Guangzhou 510510, China
关键词:
经皮椎体成形术; 经皮后凸成形术; 脊柱侧凸; 骨折; 脊柱
Keywords:
Percutaneous vertebroplasty; Percutaneous kyphoplasty; Scoliosis; Fracture; Spine
文献标志码:
A
摘要:
目的探讨经皮椎体成形术（percutaneous vertebroplasty，PVP）或经皮后凸成形术（percutaneous kyphoplasty，PKP）治疗合并脊柱侧凸的脊柱压缩性骨折的疗效。方法我院2014年1月~2016年1月采用PVP或PKP治疗合并脊柱侧凸的脊柱压缩性骨折61例（PVP50例，PKP11例）。测量术前、术后3 d、术后3个月、6个月和最后一次随访时脊柱侧凸Cobb角，以及伤椎最塌陷处的高度。结果骨水泥渗漏17例。61例随访8～12个月，平均9.4月，术前与术后4个时间点脊柱侧凸Cobb角比较差异具有统计学意义（F=145.745，P=0.000）。术前脊柱侧凸Cobb角为16.4°±5.5°，显著大于末次随访13.3°±5.5°（P=0000）、术后6个月13.4°±5.5°（P=0.000）、术后3个月13.9°±5.6°（P=0.000）和术后3 d 14.2°±5.5°（P=0.000）。术前与术后4个时间点椎体最塌陷处高度比较差异具有统计学意义（F=107.928，P=0.000）。术前最塌陷处椎体高度（1.9±0.6）cm，显著低于末次随访（2.0±0.6）cm（P=0.000）、术后6个月（2.1±0.6）cm（P=0.000）、术后3个月（2.1±0.6）cm（P=0.000）和术后3 d（2.1±0.6）cm（P=0.000）。结论PVP或PKP治疗合并脊柱侧凸的脊柱压缩性骨折患者，可显著改善脊柱侧凸畸形以及伤椎最塌陷处高度。
Abstract:
ObjectiveTo investigate the efficacy of percutaneous vertebroplasty (PVP) or percutaneous kyphoplasty (PKP) for treating spinal compression fractures combined with scoliosis.MethodsA retrospective analysis of 61 patients with compression fractures combined with scoliosis were treated by PVP(50 patients) or PKP (11 patients) in our hospital from January 2014 to January 2016. The Cobb angle of the scolosis and the height of the collapse vertebral bodies were measured before surgery, 3 days after surgery, 3 months after surgery, 6 months after surgery, and at the last time of followup.ResultsThere were 17 cases showed complication of bone cement leakage. All the 61 cases were followed up for 8-12 months (mean, 9.4 months). As compared to the preoperative scoliosis Cobb angle, postoperative scoliosis Cobb angle at 4 timepoints showed statistically significant differences (F=145.745, P=0.000). The scoliosis Cobb angle before surgery was 16.4°±5.5°, which was significantly higher than that at the last followup (13.3°±55°, P=0.000), at 6 months postoperatively (13.4°±5.5°, P=0.000)， at 3 months postoperatively (13.9°±5.6°, P=0000), and at 3 days postoperatively (14.2°±5.5°, P=0.000). As compared to the preoperative height of the collapse vertebral bodies, postoperative height of the collapse vertebral bodies at 4 timepoints showed statistically significant differences (F=107.928, P=0000). The height of the collapse vertebral bodies before surgery was (1.9±0.6) cm, which was significantly lower than that at the last followup (2.0±0.6 cm, P=0.000), at 6 months postoperatively (2.1±0.6 cm, P=0000), at 3 months postoperatively (2.1±0.6 cm, P=0.000), and at 3 days postoperatively (2.1±0.6 cm, P=0.000).ConclusionTreatment of spinal compression fractures combined with scoliosis with PVP or PKP is effective, and it can significantly correct spinal scoliosis and restore the height of the collapse vertebral bodies.

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备注/Memo

备注/Memo:
基金项目：广东省科技厅社会发展领域项目（2014A020212355）；广东省研究生教育创新计划项目（2015SFKC30）;2016年上级补助收入2016年省级高等教育“创新强校工程”专项基金项目（B16036006）**通讯作者，E-mail：yangbom333@vip.163.com①现工作单位：广州市白云区人民医院骨科，广州510500
更新日期/Last Update: 2018-05-10