[1]魏新建,纪向辉,曹飞,等.过伸复位联合单侧入路的椎体成形术治疗骨质疏松性椎体压缩骨折[J].介入放射学杂志,2012,(04):330-333.
 ,,et al.Overextending reduction combined with unilateral approach percutaneous vertebroplasty for the treatment of vertebral compression fractures due to osteoporosis [J].journal interventional radiology,2012,(04):330-333.
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过伸复位联合单侧入路的椎体成形术治疗骨质疏松性椎体压缩骨折 ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2012年04期
页码:
330-333
栏目:
临床研究
出版日期:
2012-04-28

文章信息/Info

Title:
Overextending reduction combined with unilateral approach percutaneous vertebroplasty for the treatment of vertebral compression fractures due to osteoporosis  
作者:
 魏新建纪向辉 曹飞张福华
Author(s):
 WEI Xinjian JI Xianghui CAO Fei ZHANG Fuhua.  
 Department of Orthopedics, No. 371 Central Hospital of PLA, Xinxiang, Henan Province 453000, China
关键词:
【关键词】  骨质疏松 复位 经皮椎体成形术 脊柱压缩骨折
文献标志码:
A
摘要:
 【摘要】 目的 观察过伸复位联合单侧入路的经皮椎体成形术(PVP)治疗骨质疏松性椎体压缩骨折的效果。方法 术前牵引垫枕,术中利用骨科手术床行过伸复位,再行PVP治疗。在术前、术后3 d、术后12个月随访时进行疼痛视觉评分(VAS),计算术前、术后压缩椎体高度恢复率。结果 16例20个椎体操作成功,骨水泥向椎体前方渗漏5例,侧方渗漏2例,向椎间盘内渗漏2例,无椎体后方渗漏。VAS评分由术前8.5 ± 1.2降低至2.5 ± 1.4,骨折椎体高度恢复率为(40.1 ± 23.5)%。结论 过伸复位联合单侧入路的PVP是治疗骨质疏松性椎体压缩骨折的有效方法。

参考文献/References:

[1] Mccormack T, Karaikovic E, Gaines RW. The load sharing classification of spine fractures[J]. Spine (Phila Pa 1976), 1994, 19: 1741  1744.
[2]  Lee ST, Chen JF. Closed reduction vertebroplasty for the treatment of osteoporotic vertebral compression fractures. Technical note[J]. J Neurosurg, 2004, 100: 392  396.
[3]   Rao RD, Singrakhia MD. Painful osteoporotic vertebral fracture. Pathogenesis, evaluation, and roles of vertebroplasty and kyphoplasty in its management[J]. J Bone Joint Surg Am, 2003, 85A: 2010  2022.
[4]   李晓群, 张   健, 张高尚. 经皮椎体成形术临床应用---附295例553节椎体报告[J]. 介入放射学杂志, 2008, 17: 129  132.
[5]   杨惠林, Hansen AY, 陈   亮,等. 椎体后凸成形术治疗老年骨质疏松脊柱压缩骨折[J]. 中华骨科杂志, 2003, 23: 262  265.
[6]   Hoh BL, Rabinov JD, Pryor JC, et al. Balloon kyphoplasty for vertebral compression fracture using a unilateral balloon tamp via a unipedicular approach: technical note[J]. Pain Physician, 2004, 7: 111  114.
[7]   Kim AK, Jensen ME, Dion JE, et al. Unilateral transpedicular percutaneous vertebroplasty: initial experience[J]. Radiology, 2002, 222: 737  741.
[8]   张   继, 吴春根, 程永德, 等. 单侧椎弓根入路椎体成形术治疗骨质疏松性严重椎体压缩骨折[J]. 介入放射学杂志, 2008, 17: 114  117.

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备注/Memo

备注/Memo:
 (收稿日期:20110927)
更新日期/Last Update: