Objective To explore the clinical effects of posterior pedicle screw fixation combined with vertebroplasty for thoracolumbar osteoporotic fractures in the elderly. Methods Twenty-nine elderly patients with thoracolumbar osteoporotic fractures were treated with anti-osteoporosis medicine and posterior pedicle screw fixation combined with vertebroplasty. The drug therapy was continued after the surgery. All cases were followed up with X-ray scan, SF-MPQ and ODI evaluations. Results All the 29 cases were followed up for 12-38 months. No pedicle screw loosing or breaking occurred during the follow-up. The height and the Cobb's angel of injured vertebral body were not lost obviously. Conclusion Posterior pedicle screw fixation combined with vertebroplasty is a viable method for thoracolumbar osteoporotic fractures in the elderly. Rigorous operation indication and perioperative treatment ensure the successful operation.%目的 探讨椎体成形联合椎弓根钉棒系统治疗老年骨质疏松性脊柱骨折的临床效果.方法 29例老年人胸腰段脊椎骨折患者围手术期采用骨质疏松药物治疗,后路经椎弓根内固定结合椎体成 形术治疗骨折,术后继续药物治疗,利用影像学检查、SFMPQ和ODI评分随访.结果 29例患者均获12～38个月随访,随访期内无内固定松动、断裂,患者伤椎SI值和Cobb角无明显丢失.结论 椎体成形联合椎弓根钉棒系统是治疗老年人胸腰椎骨折的一种可行方法,严格把握手术指征、完备的围手术期治疗是手术成功的重要保证.
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