单球囊双侧扩张后凸成形术治疗不同程度骨质疏松性椎体压缩骨折的疗效

目的:观察单球囊双侧交替扩张后凸成形术治疗老年骨质疏松性椎体压缩骨折的疗效。方法:选择我院2014年7月-2015年5月收治的老年骨质疏松性椎体压缩骨折患者60例,按照椎体塌陷程度分为重度骨折组和轻度骨折组,每组各30例。两组患者均接受单球囊双侧交替扩张后凸成形术治疗,观察治疗效果和椎体变化等。结果:与轻度骨折组比较,重度骨折组手术时间长、骨水泥注射量少,且椎体前缘高度恢复率、椎体中部高度恢复率、Cobb角矫正度高(P0.05)。治疗后,两组患者VAS评分均优于治疗前(P0.05),但两组间差异无统计学意义(P0.05)。与治疗前比较,两组治疗后椎体前缘高度、椎体中部高度、Cobb角均有所改善(P0.05),轻度骨折组的椎体前缘高度、椎体中部高度明显大于重度骨折组(P0.05),但两组Cobb角比较,差异无统计学意义(P0.05)。结论:单球囊双侧交替扩张后凸成形术治疗老年骨质疏松性椎体压缩骨折具有较好的临床疗效,可以明显纠正椎体塌陷和Cobb角度。

Curative Effect of Single Balloon Bilateral Alternating Convex Keratoplasty on the Treatment of Osteoporotic Vertebral Compression Fractures

Objective:To observe the clinical effects of single balloon bilateral alternating on expansion after kyphoplasty on the treatment of osteoporotic vertebral compression fractures for elderly patients.Methods:60 elderly patients with senile osteoporosis osteoporotic vertebral compression fractures who were treated in our hospital from July 2014 to May 2015 were selected and according to the degrees of vertebral collapse, the patients were divided into the severe fracture group and the slight fracture group, with 30 cases in each group. The patients in the two groups were treated with the double balloon dilatation of the single balloon, and the effect of the treatment and the changes of the vertebral body were observed and compared.Results:Compared with the slight fracture group, the operation time in the severe fracture group was longer, the bone cement was less and the rates of vertebral height restoration and the middle part of the vertebral body height recovery and the Cobb angle correction were higher (P<0.05). After the operation, the VAS score of the two groups were better than before(P<0.05), while there was no statistically significant difference between the two groups (P>0.05). Compared with before, the anterior height of vertebral body, vertebral middle height and Cobb angle of patients in the two groups improved after the operation (P<0.05), and the anterior height of vertebral body and the middle part of the vertebral body height in the slight fracture group were better than those of the severe fracture group (P<0.05). There was no statistically significant difference about the Cobb angle between the two groups after the operation (P>0.05).Conclusion:The bilateral alternating expansion of the single spherical sac has better clinical effect on the treatment of senile osteoporotic vertebral compression fractures for elderly patients, which can obviously correct the vertebral collapse and Cobb angle.