骨水泥强化病椎锚定短节段椎弓根螺钉固定治疗III期Kummell’s病
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1.河南省洛阳正骨医院(河南省骨科医院);2.河南省洛阳正骨医院

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经皮撬拨复位联合骨水泥锚定在骨质疏松性压缩骨折合并后凸畸形治疗中的临床应用研究(20-21ZY2243)


Treatment of stage III Kummell's disease with bone cement-enhanced vertebral anchoring technique and short-segment pedicle screw fixation
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Luoyang Orthopedic Hospital of Henan Province(Orthopedic Hospital of Henan Province)

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    摘要:

    目的 介绍骨水泥强化病椎锚定短节段椎弓根螺钉固定治疗III期Kümmell’s病的手术技术和初步临床疗效。方法 本研究回顾自2018年1月至2021年1月收治的20例III期Kümmell’s病患者,均采用伤椎一侧骨水泥螺钉及对侧PVP骨水泥锚定技术结合短节段骨水泥强化椎弓根螺钉固定方法治疗。记录并比较分析患者术前、术后的临床及影像学资料。结果 20例患者均顺利完成手术,无严重并发症。随访12-36个月。患者VAS评分由术前(6.8±0.6)分,减少至末次随访时(2.6±0.5)分,ODI评分由术前(71.9±5.1)%减少至末次随访时(31.2±2.1)%,均较术前显著改善。结论 骨水泥强化病椎锚定短节段椎弓根螺钉固定治疗III期Kümmell’s病能有效恢复伤椎椎体高度,矫正后凸,减少创伤,防止病变椎体再次塌陷,有效改善临床功能。

    Abstract:

    Objective: To investigate the clinical effect of lollipop structure anchoring technique combined with short-segment bone cement-augmented pedicle screw in stage III Kümmell's disease. Methods: This study reviewed 20 patients with stage III Kümmell's disease admitted from January 2018 to January 2021. All patients were treated with bone cement screws on one side of the injured vertebra and PVP bone cement anchoring technique on the opposite side combined with short-segment bone cement-enhanced pedicle screw fixation. The preoperative and postoperative clinical and radiological data of the patients were recorded and compared. Results: All 20 patients had operation completed successfully without serious complications and were followed up for 12-36 months. The VAS score of the patients decreased from (6.8±0.6) before operation to (2.6±0.5) at the last follow-up, and the ODI score decreased from (71.9±5.1) % before operation to (31.2±2.1) % at the last follow-up. The VAS score and ODI score at the last follow-up were significantly improved compared with those before operation. Conclusions: Bone cement-enhanced vertebral anchoring technique with short-segment pedicle screw fixation in the treatment of stage Ⅲ Kümmell’s disease can effectively restore the height of the diseased vertebrae, kyphosis correction, reduce trauma, prevent the diseased vertebral body from collapsing again, and effectively improves clinical function.

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  • 收稿日期:2022-02-28
  • 最后修改日期:2022-07-31
  • 录用日期:2022-10-09
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