经皮钛网植入骨水泥填充治疗骨质疏松性椎体骨折疗效
DOI:
作者:
作者单位:

1.武汉市第三医院;2.东莞市康华医院

作者简介:

通讯作者:

中图分类号:

基金项目:


The clinical efficacy in the treatment of osteoporotic vertebral compression fractures via titanium mesh implantation with bone cement filled
Author:
Affiliation:

1.WuHan Third Hospital;2.Dongguan Kanghua Hospital

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的 观察经皮钛网植入支撑骨水泥填充治疗老年性骨质疏松性椎体压缩骨折(osteoporotic vertebral compression fractures, OVCFs)的临床疗效,分析钛网植入骨水泥支撑系统治疗老年性OVCFs的临床效果、技术优点。方法 回顾性分析我院2016年5月-2018年5月我科使用经皮钛网植入支撑骨水泥填充治疗OVCFs30例,术前均进行骨密度测定(DXA)证实为骨质疏松患者,X线、MRI证实为新鲜压缩性骨折。所有患者术前、术后1天、术后1月及术后1年均进行视觉模拟评分(VAS)、Oswestry功能障碍指数(ODI)、术前术后X线片分析Beck指数、Cobb角度变化情况。结果 视觉模拟评分(VAS)平均术前7.9,术后1年降低到明1.5,差异有统计学意义。Oswestry功能障碍指数(ODI)由术前的79.0%提高到术后1年29.5%,差异具有统计学意义。放射学评价,Beck指数术前10.1°降到术后1年8.4°,术前与术后各时间点比较差异有统计学意义,术后各时间点之间比较差异无统计学意义, Cobb角度平均值由术前9.1°矫正到术后8.0°,术前与术后各时间点比较差异有统计学意义,术后1年与术后其他时间点(术后1天,术后1月)比较差异有统计学意义。所有患者手术顺利,无骨水泥渗漏引起不良事件。 结论 钛网植入支撑骨水泥填充是一种有效治疗老年性OVCFs有效方法,并能较好维持强化后椎体的高度及稳定性

    Abstract:

    Objective:To observe titanium mesh implant with bone cement filled in treatment of senile osteoporotic vertebral compression fractures ,clinical curative effect and summarize the clinical effect and technical advantages of titanium mesh implantation in the treatment of senile OVCFs. Methods: Conclusion titanium mesh plant bone cement technology support system for the treatment of senile OVCFs clinical effect, technical advantages were retrospectively analyzed from May ,2016ye to May 2018 division using percutaneous supported titanium mesh implant bone cement filling treatment of 30 cases of OVCFs, preoperation bone density are determined (DXA) confirmed that for patients with osteoporosis, X-ray and MRI confirmed for fresh compression fractures.Visual analogue scale (VAS), Oswestry dysfunction index (ODI), preoperative and postoperative X ray analysis of Beck index and Cobb Angle changed on all, followed-up pre-operation ,postoperation1 day after, 1 month after and 1 year. Results: The visual analogue scale (VAS) decreased from 7.9 preoperation to 1.5 one year postoperation, showing a statistically significant difference.The Oswestry dysfunction index (ODI) increased from 79.0% before surgery to 29.5% one year after surgery, showing a statistically significant difference.Radiological evaluation, Beck index by 10.1 °preoperation to 8.4 ° 1 year after the postoperation. the difference was statistically significant time points.The patients in the different period compared with preoperative period statistically significant ,the different period of postoperation ompared among different groups there was no statistically significant difference The average Cobb Angle from 8.0 °to 9.1 ° compared the preoperative period with postoperative period, the difference was statistically significant, 1 year after surgery and other time points after surgery (January 1 day after the surgery, surgery) to compare the difference was statistically significant.All patients underwent surgery smoothly, and no adverse events were caused by bone cement leakage. Conclusions: Titanium mesh implantation is an effective method for the treatment of senile OVCFs, and can maintain the height and stability of the vertebral body after strengthening.

    参考文献
    相似文献
    引证文献
引用本文
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2019-06-12
  • 最后修改日期:2019-08-12
  • 录用日期:2019-08-23
  • 在线发布日期:
  • 出版日期: