[1]王彦金,周英杰,黄 勇.单、双侧椎弓根入路经皮椎体成形术治疗骨质疏松型椎体压缩骨折的对比研究[J].医学信息,2023,36(08):127-130.[doi:10.3969/j.issn.1006-1959.2023.08.027]
　WANG Yan-jin,ZHOU Ying-jie,HUANG Yong,et al.Comparative Study of Unilateral and Bilateral Pedicle Approach Percutaneous Vertebroplasty in the Treatment of Osteoporotic Vertebral Compression Fractures[J].Journal of Medical Information,2023,36(08):127-130.[doi:10.3969/j.issn.1006-1959.2023.08.027]
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单、双侧椎弓根入路经皮椎体成形术治疗骨质疏松型椎体压缩骨折的对比研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年08期
页码:
127-130
栏目:
论著
出版日期:
2023-04-15

文章信息/Info

Title:
Comparative Study of Unilateral and Bilateral Pedicle Approach Percutaneous Vertebroplasty in the Treatment of Osteoporotic Vertebral Compression Fractures
文章编号:
1006-1959（2023）08-0127-04
作者:
王彦金; 周英杰; 黄 勇
（1.河南中医药大学骨伤学院，河南 郑州 450046；2.河南省洛阳正骨医院/河南省骨科医院脊柱外二科，河南 洛阳 471002）
Author(s):
WANG Yan-jin; ZHOU Ying-jie; HUANG Yong; et al.
(1.College of Orthopedic Injury,Henan University of Chinese Medicine,Zhengzhou 450046,Henan,China;2.The Second Department of Spinal Surgery,Luoyang Orthopaedic Traumatological Hospital of Henan Province/Henan Provincial Orthopaedic Hospital,Luoyang 471002,Henan,China)
关键词:
椎体压缩骨折; 骨质疏松症; 椎弓根入路; 椎体成形术
Keywords:
Vertebral compression fracture; Osteoporosis; Transpedicular approach; Percutaneous vertebroplasty
分类号:
R687.3
DOI:
10.3969/j.issn.1006-1959.2023.08.027
文献标志码:
A
摘要:
目的 对比单、双侧椎弓根入路经皮椎体成形术（PVP）治疗骨质疏松型椎体压缩骨折（OVCF）的疗效差异。方法 回顾性分析2020年1月-2021年1月河南省洛阳正骨医院行PVP的患者60例，根据入路方式的不同分为单侧组（30例）与双侧组（30例）。比较两组手术前后的VAS评分、腰椎ODI评分、伤椎前缘高度、伤椎Cobb角变化情况，以及术中骨水泥注入量、骨水泥弥散系数和骨水泥渗漏情况。结果 两组患者术后VAS评分与ODI评分均低于术前，差异有统计学意义（P＜0.05），但组间比较，差异无统计学意义（P＞0.05）；两组伤椎前缘高度及伤椎Cobb角比较，差异无统计学意义（P＞0.05）；两组骨水泥注入量比较，差异无统计学意义（P＞0.05），双侧组骨水泥弥散系数高于单侧组骨水泥弥散系数（P＜0.05）。结论 PVP治疗OVCF采用单侧椎弓根入路与双侧椎弓根入路对患者疼痛的缓解及腰椎功能的恢复效果相当。两者均不能有效恢复伤椎高度与矫正后凸畸形。在骨水泥注入量无明显差异情况下双侧椎弓根入路能够更好的骨水泥弥散，有效的防止椎体的二次骨折。
Abstract:
Objective To compare the curative effect of unilateral and bilateral pedicle approach percutaneous vertebroplasty (PVP) in the treatment of osteoporotic vertebral compression fractures (OVCF).Methods A retrospective analysis of 60 patients who underwent PVP in Luoyang Orthopaedic?Traumatological Hospital of Henan Province from January 2020 to January 2021 were divided into unilateral group (30 cases) and bilateral group (30 cases) according to different approaches. VAS score, lumbar ODI score, anterior vertebral height, Cobb angle of injured vertebrae, bone cement injection volume, bone cement diffusion coefficient and bone cement leakage were compared between the two groups before and after operation.Results The preoperative VAS score and ODI score of the two groups were lower than those after the operation, and the difference was statistically significant (P<0.05), but there was no significant difference between the two groups (P>0.05). There was no significant difference in height and cobb angle of injured vertebra between groups (P>0.05). There was no statistical significance between the amount of bone cement injected (P>0.05), while the diffusion coefficient of bone cement in the bilateral group was higher than that in the unilateral group (P<0.05).Conclusion PVP treatment of OVCF with unilateral pedicle approach and bilateral pedicle approach has the same effect on pain relief and lumbar function recovery. Neither of them can effectively restore the height of the injured vertebra and correct the kyphosis deformity. In the case of no significant difference in the amount of bone cement injection, the bilateral pedicle approach can better diffuse the bone cement and effectively prevent the secondary fracture of the vertebral body.

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更新日期/Last Update: 1900-01-01