后路截骨矫形手术治疗老年骨质疏松性陈旧胸腰椎骨折伴后凸畸形患者的临床效果观察

摘要

目的：观察后路截骨矫形手术治疗老年骨质疏松性陈旧胸腰椎骨折伴后凸畸形患者的临床效果。方法22例老年骨质疏松性陈旧胸腰椎骨折伴后凸畸形患者，均给予后路ponte截骨矫形手术治疗，观察对比患者手术前后矢状面 C7铅垂线与骶骨后上缘间的水平距离(SVA)、视觉模拟评分法(VAS)评分及后凸Cobb角，分析其临床疗效。结果手术后SVA、VAS评分及后凸Cobb角较手术前均明显下降(P<0.05)。平均手术时间(226.80±30.16)min；平均术中出血量(865.65±256.98)ml；4例出现硬膜囊撕裂，给予修补；患者临床症状均得到明显改善。结论老年骨质疏松性陈旧胸腰椎骨折伴后凸畸形患者采取后路截骨矫形手术治疗可以取得较好的临床效果，值得深入研究。%ObjectiveTo observe clinical effect by posterior bone cutting orthomorphia in the treatment of senile osteoporosis old thoracolumbar vertebral fracture complicated with kyphosis.MethodsA total of 22 senile osteoporosis old thoracolumbar vertebral fracture complicated with kyphosis patients all received posteriorponte bone cutting orthomorphia. Observation and comparison were made on horizontal distance between sagittal plane C7 plumb line and sacrum posterior superior border (SVA), visual analogue scale (VAS) score and kyphosis Cobb angle before and after treatment. Their clinical effects were analyzed.ResultsAfter operation, SVA, VAS score and kyphosis Cobb angle were all obviously lower than those before operation (P<0.05). Mean operation time was (226.80±30.16) min and mean intraoperative bleeding volume was (865.65±256.98) ml. There were 4 cases with epidural capsule tear receiving repair. All patients had remarkably improved clinical symptoms.Conclusion Implement of posterior bone cutting orthomorphia provides precisely clinical effect in treating senile osteoporosis old thoracolumbar vertebral fracture complicated with kyphosis, and it is worth further research.