椎体成形术后相邻椎体骨折的临床分析

摘要

ObjectiveTo investigate patients with osteoporotic vertebral compression fractures implementation of percutaneous balloon dilatation kyphoplasty(PKP)after treatment and the effect of adjacent vertebral fractures.MethodsEmerge from the hospital in May 2010-May 2013 treated osteoporotic vertebral compression fractures after vertebroplasty adjacent vertebral fractures in patients randomly selected 30 cases studied, the implementation of percutaneous again balloon kyphoplasty(PKP). Records of patients before surgery again, the ability to take care of themselves after assessment(ADL)and visual analog pain scale(VAS)results and compared.ResultsAll patients were successfully re-PKP surgery, patients were followed up for 3 months , the patient again after 24 h, 3 months again ADL and VAS scores compared with preoperative differences were signiifcant(allP<0.05). ConclusionOsteoporotic vertebral compression fractures after vertebroplasty in patients with fractures of adjacent vertebrae again of percutaneous balloon dilatation kyphoplasty(PKP), you can get better clinical results, significantly relieve pain, promote functional recovery, and fewer complications, safe, reliable, worthy of promotion.%目的：探讨骨质疏松性椎体压缩性骨折患者实施经皮球囊扩张椎体后凸成形术（PKP）术后相邻椎体骨折的治疗方法和效果。方法从本院2010年5月至2013年5月收治的骨质疏松性椎体压缩性骨折椎体成形术后相邻椎体出现骨折的患者中随机选择30例进行研究，再次实施经皮球囊扩张椎体后凸成形术（PKP）。记录患者再次术前、术后自理生活能力评估（ADL）和视觉模拟疼痛评分（VAS）结果，并进行比较。结果所有患者均顺利完成再次PKP手术，术后随访3个月，患者再次术后24 h、3个月的ADL和VAS评分较之再次术前差异均显著，（均P＜0.05）。结论对骨质疏松性椎体压缩性骨折椎体成形术后相邻椎体出现骨折的患者再次实施经皮球囊扩张椎体后凸成形术（PKP），可以获得较好的临床效果，显著缓解疼痛，促进功能恢复，且并发症较少，安全可靠，值得推广。