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[1]张生,王海蛟,李玉伟,等.过伸手法复位联合经皮椎体成形术治疗胸腰椎骨质疏松性压缩骨折的疗效观察[J].环球中医药,2013,6(07):496-0.
　ZHANG Sheng,WANG Hai jiao,LI Yu wei,et al.Overextending reduction combined with percutaneous vertebroplasty for the treatment of thoracolumbar vertebral compression fractures due to osteoporosis[J].,2013,6(07):496-0.
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过伸手法复位联合经皮椎体成形术治疗胸腰椎骨质疏松性压缩骨折的疗效观察()
     
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《环球中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
第6卷
期数:
2013年07期
页码:
496-0
栏目:
论著
出版日期:
2013-07-06

文章信息/Info

Title:
Overextending reduction combined with percutaneous vertebroplasty for the treatment of thoracolumbar vertebral compression fractures due to osteoporosis
作者:
张生;王海蛟;李玉伟;孟艳平;王齐超;谢广田;
Author(s):
ZHANG Sheng;  WANG Haijiao;  LI Yuwei;  et al.
Joint spine section, Luohe Central Hospital, Henan 462000, China
关键词:
骨质疏松; 过伸手法复位; 经皮椎体成形术; 胸腰椎压缩骨折
Keywords:
Osteoporosis; Reduction; Percutaneous vertebroplasty; Vertebral compression fracture
分类号:
R683
DOI:
-
文献标志码:
A
摘要:
目的观察过伸手法复位联合经皮椎体成形术(PVP)治疗胸腰椎骨质疏松性压缩骨折的治疗效果。方法对于明确诊断胸腰椎骨质疏松性压缩骨折的33例患者(42个椎体),采用术中过伸手法复位骨折联合PVP治疗。分别在术前、术后3天、术后3个月、术后12个月对患者进行疼痛视觉模拟评分(visualanaloguescale,VAS)、伤椎前中部高度丢失百分比及后凸畸形Cobb角等指标来评估治疗效果。结果术后VAS评分都有明显下降,与术前相比有显著性差异(P<0.05),后凸畸形及椎体高度与术前比较差异有统计学意义(P<0.05),发生骨水泥向椎体前方渗漏2例,侧方渗漏2例,向椎间盘内渗漏1例,无椎体后方渗漏。结论过伸手法复位联合经皮椎体成形术能有效矫正胸腰椎椎体压缩性骨折引起的后突畸形,减轻疼痛症状,是治疗胸腰椎骨质疏松性压缩骨折的有效方法。
Abstract:
ObjectiveTo assess the clinical effect of overextending reduction combined with percutaneous vertebroplasty(PVP)in treating thoracolumbar vertebral compression fractures caused by osteoporosis. MethodsA total of 33 patients(44 vertebras) with vertebral compression fractures due to osteoporosis were treated with overextending reduction by using traction on the operation table, and then PVP was performed on the fractured vertebra. The visual analogue scale(VAS) was used to evaluate the clinical effectiveness. The preoperative and postoperative heights of the fractured vertebral body and Cobb angle were determined. ResultsAfter the treatment VAS score significantly decreased (P<0.05)and the vertebral height were significantly improved(P<005).Bone cement leakage was observed in front of the vertebral body(n=2), in the side of vertebral body(n=2) and within the intervertebral disc(n=1). Conclusion The overextending reduction combined with PVP is an effective treatment for thoracolumbar vertebral compression fractures caused by osteoporosis．

参考文献/References:

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备注/Memo

备注/Memo:

作者单位：462000 河南省漯河市中心医院关节脊柱科
作者简介：张生（1977- ），硕士，主治医师。研究方向：脊柱外科。Email：zs5686@163.com
更新日期/Last Update: 1900-01-01