椎体成形术治疗老年骨质疏松性椎体骨折后疼痛的疗效

摘要

目的：探讨经皮椎体成形术治疗老年骨质疏松性椎体骨折所致腰背部疼痛的疗效。方法：选择2008年6月-2012年6月收治的、得到随访的26例腰背部疼痛、活动受限、经检查确诊为骨质疏松性椎体压缩性骨折的老年患者（平均年龄72.3岁），在C型臂X线机（DSA）监视引导下完成经皮椎体成形术。并用视觉模拟评分法（VAS）对疗效进行评价。随访时间6~12个月，平均（8.2±1.5）个月。结果：15例患者术后即刻疼痛缓解，9例患者术后24 h疼痛缓解，2例患者术后1周疼痛缓解。术后l周优良率100%，有效率100%；术后3个月优良率100%，有效率100%；术后6个月优良率90%，有效率100%；术后1年优良率80%，有效率100%，术后邻近椎体再发骨折53.8%，再次接受PVP治疗后疼痛仍可得到有效缓解。结论：经皮椎体成形术能够很好地缓解老年骨质疏松性椎体骨折所致腰背部疼痛，是一种迅速、有效的治疗方法。%Objective:To investigate the efficacy of aged osteoporotic spinal compressive fractures with percutaneous vertebroplasty. Method:Twenty-six cases of aged compressive fractures(range 66 to 87 years old),under the guidance of C-armed imaging. Bone marrow biopsy needle was inserted percutaneusly viatrnspediculal way into the fractured vertebrae,polymethylmethacycrylate(PMMA)was then injected into the fractured vertebrae.Vasual analogue scale(VAS)were elaluated before and after PVP and in the follow-up poriod. Follow-up of 8.2 months. Result:The back pain disappeared immddiately after PVP in 15 cases(57.7%),the back pain disappeared 24 hours after PVP in 2 cases(34.6%),the back pain disappeared a week after PVP in 2 cases(7.7%). Conclusion:PVP is an effective mini-invasive technique for osteoporoticspinal compression fractures and it is safety and valid.