目的 评价硫酸钙骨水泥(CSC)强化骨质疏松绵羊腰椎力学强度的效果.方法 成年雌性绵羊4只,行去势手术后饲养1年,测量去势前后腰椎骨密度.取L2~5共16个椎体,分为CSC组和对照组,每组8个椎体.CSC组经椎弓根向椎体内注射CSC(2.0 ml),对照组不给于任何处理.CSC组于术后12周测量L2~5单个椎体的骨密度,然后处死绵羊.取出椎体行压缩实验,测量各组中椎体的最大压缩应力(σult)和能量吸收值(EAV).结果 去势1年后绵羊腰椎骨密度显著下降,与去势前比较差异有统计学意义(P<0.05),骨质疏松绵羊模型建立成功.注射CSC 12周后椎体骨密度(BMD)、σult、EAV均高于对照组(P<0.05),且椎体的σult和EAV均与BMD成正相关关系(P<0.05).结论 CSC可以提高骨质疏松椎体的BMD,强化骨质疏松椎体的力学强度,有利于避免或减少骨质疏松椎体骨折的风险.%Objective To evaluate biomechanical performance of osteoporotic lumbar vertebral body augmented with calcium sulfate cement ( CSC ) in ovariectomized sheep. Methods Four female adult sheep were treated with bilateral ovariectomy. Bone mineral density ( BMD ) of lumbar vertebrae of all sheep was measured before the treatment and one year after of the treatment. L2 ~ L5 of each sheep and total 16 vertebrae were grouped into CSC and blank group with 8 vertebrae in each group. In CSC group, vertebrae were augmented with CSC( 2. 0 ml ) through transpedicular approach. There was no augmentation in blank group. Each vertebra BMD of L2 ~ L5 in CSC group was measured 12 weeks later. Then all sheep were killed and L2 ~ L5 were prepared for compression test. The ultimate compared stres-ses( (σult )and energy absorption value( EAV )of each group were recorded. Results There was a significant decrease in average BMD of lumbar one year after ovariectomy( P < 0. 05 ). The osteoporotic lumbar vertebral experiment was successful. 12 weeks after augmentation with CSC,BMD,σult and EAV in CSC group were significantly higher than those in blank group( P <0. 05 ). There was a positive linear relationship between BMD and σult as well as between BMD and EAV ( P < 0. 05 ). Conclusions Calcium sulfate cement can significantly increase BMD of osteoporotic vertebrae and enhance biomechanical strength, which will avoid or decrease the risks of osteoporotic vertebral fractures.
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