[1]罗同青* 胡朝晖 谢湘涛.单侧椎弓根旁入路经皮椎体成形术治疗重度椎体压缩骨折42例[J].中国微创外科杂志,2020,01(2):133-137.
　Luo Tongqing,Hu Zhaohui,Xie Xiangtao..Percutaneous Vertebroplasty for Severe Osteoporotic Vertebral Compression Fractures via Unilateral Papapedicular Approach: Report of 42 Cases[J].Chinese Journal of Minimally Invasive Surgery,2020,01(2):133-137.
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单侧椎弓根旁入路经皮椎体成形术治疗重度椎体压缩骨折42例()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2020年2期
页码:
133-137
栏目:
临床研究
出版日期:
2020-02-28

文章信息/Info

Title:
Percutaneous Vertebroplasty for Severe Osteoporotic Vertebral Compression Fractures via Unilateral Papapedicular Approach: Report of 42 Cases
作者:
罗同青* 胡朝晖 谢湘涛
(广西壮族自治区柳州市人民医院脊柱外科，柳州545006)
Author(s):
Luo Tongqing;  Hu Zhaohui;  Xie Xiangtao.
Department of Spinal Surgery, People’s Hospital of Liuzhou, Liuzhou 545006, China
关键词:
重度; 骨质疏松性椎体压缩骨折; 经皮椎体成形术; 椎弓根旁
Keywords:
Severe; Osteoporotic vertebral compression fracture; Percutaneous vertebroplasty; Papapedicular
文献标志码:
A
摘要:
目的探讨单侧椎弓根旁入路经皮椎体成形术(percutaneous vertebroplasty，PVP)治疗重度骨质疏松性椎体压缩骨折(osteoporotic vertebral compression fracture，OVCF)的疗效。方法2017年1月~2018年12月，对42例重度OVCF采用单侧椎弓根旁入路PVP治疗。所有骨折椎体高度均少于原椎体的1/3。采用单侧椎弓根旁入路穿刺，穿刺成功后注射骨水泥。结果42例均完成手术。手术时间26~45 min，出血量<5 ml，骨水泥注射量1.5~3.5 ml。骨水泥在椎体内分布对称，无穿刺并发症。3个椎体骨水泥渗漏，渗漏率7.1%。均获得随访，随访时间6~12个月。术前、术后1 d及末次随访时疼痛视觉模拟评分(Visual Analogue Scale，VAS)分别为(8.6±0.6)、(3.7±0.5)、(2.1±0.6)分，术后均较术前明显改善(P=0000)。术前、术后1 d及末次随访时Cobb角分别为9.6°±3.4°、8.9°±3.1°、8.9°±2.6°，术后均较术前明显减小(P=0000)。结论单侧椎弓根旁入路PVP治疗重度OVCF安全、有效。
Abstract:
ObjectiveTo explore the efficacy of percutaneous vertebroplasty (PVP) for severe osteoporotic vertebral compression fractures (OVCF) via unilateral papapedicular approach.MethodsA total of 42 cases (42 vertebras) with severe OVCF were admitted from January 2017 to December 2018. PVP was performed via unilateral papapedicular approach. The vertebral body height was less than 1/3 of the original height. Unilateral papapedicular puncture was performed, and cement was injected after puncture. ResultsThe operation was completed successfully in all the 42 cases. The operative duration was 26-45 minutes, the blood loss was less than 5 ml, and volume of bone cement was 1.5-3.5 ml. The bone cement was symmetrically distributed in the vertebrae and no severe complication of puncture was found. Cement leakage occurred in 3 vertebral bodies and the cement leakage rate was 7.1%. All the cases were followed up for 6-12 months. The Visual Analogue Scale (VAS) score was 8.6±0.6, 3.7±05, and 2.1±0.6 points at preoperation, 1 day after operation, and at the last followup, respectively, all of which were much improved after operation (P=0.000). The Cobb angle was 9.6°±3.4°, 8.9°±3.1°, and 8.9°±2.6° at preoperation, 1 day after operation, and at the last followup, respectively, all of which were significantly decreased after operation (P=0.000).ConclusionThe procedure of PVP via unilateral papapedicular approach is safe and effective for severe OVCF.

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备注/Memo

备注/Memo:
基金项目：广西壮族自治区卫健委自筹经费科研课题(桂自筹)(Z20170678) *通讯作者，Email：luotongqing2929@sina.com
更新日期/Last Update: 2020-05-16