低温分阶段注射经皮椎体后凸成形术治疗多节段骨质疏松性椎体骨折的疗效观察

doi:10.3969/j.issn.1006-6233.2018.07.009

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Abstract Objective: To evaluate the effect of percutaneous vertebroplasty at low temperature in the treatment of multisegmental osteoporotic vertebral fractures. Methods: 87 cases of senile osteoporosis vertebral compression fractures (OVCFs) with more than 2 vertebral body were retrospectiveiy analyzed, which adopting low-temperatured, staged and unilateral-punctured injection of the percutaneous kyphoplasty (PKP) in Chengde Central Hospital from January 2006 to October 2016. Preoperative and postoperative visual analogue scale (VAS), postoperative Cobb angle improvement, the oswestry disability index (ODI) and cement extravasion were analyzed to assess the curative effectiveness. Results: 87 patients with unilateral pedicle puncture technique, the success rate was 100%.The VAS scores of preoperative and 1day, 3 months and 6 months after surgery were (7.7 ± 1.0),(2.5 ± 0.8),(2.4 ± 0.7)and(2.1 ± 0.7). Postoperative Cobb angle: (24.6 ± 4.7),(12.9 ± 2.1),(12.6 ± 2.0),(13.0 ± 2.2)°.ODI scores were(77.3 ± 8.4),(30.7 ± 6.5),(27.5 ± 6.6),(27.4 ± 6.1)%. Bone cement leakage: 3 cases without clinical symptoms. Conclusion: The low-temperatured and staged injection of the percutaneous kyphoplasty (PKP) in the treatment of multiple-segmental senile osteoporosis vertebral compression fractures (OVCFs) can reduce the cement extravasion rate, relieve pain rapidly, improve the quality of life and thus achieve satisfactory clinical effectiveness

Key words： Osteoporosis vertebral compression fractures Percutaneous transcutaneous Percutaneous kyphoplasty Bone cement leakage

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2018.07.009 OR http://www.hbyxzzs.cn/EN/Y2018/V24/I7/1091

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