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椎体成形术中注入骨水泥对骨质疏松压缩性骨折相邻椎体发生骨折的影响

刘涛

刘涛. 椎体成形术中注入骨水泥对骨质疏松压缩性骨折相邻椎体发生骨折的影响[J]. 实用临床医药杂志, 2020, 24(5): 40-43. DOI: 10.7619/jcmp.202005011
引用本文: 刘涛. 椎体成形术中注入骨水泥对骨质疏松压缩性骨折相邻椎体发生骨折的影响[J]. 实用临床医药杂志, 2020, 24(5): 40-43. DOI: 10.7619/jcmp.202005011
shu
LIU Tao. Influence of bone cement injection during vertebroplasty on incidence of adjacent vertebral fracture in patients with osteoporotic compression fracture[J]. Journal of Clinical Medicine in Practice, 2020, 24(5): 40-43. DOI: 10.7619/jcmp.202005011
Citation: LIU Tao. Influence of bone cement injection during vertebroplasty on incidence of adjacent vertebral fracture in patients with osteoporotic compression fracture[J]. Journal of Clinical Medicine in Practice, 2020, 24(5): 40-43. DOI: 10.7619/jcmp.202005011
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椎体成形术中注入骨水泥对骨质疏松压缩性骨折相邻椎体发生骨折的影响

  • 陕西省西安北环医院 外二科, 陕西 西安, 710032

详细信息

  • 中图分类号: R683

Influence of bone cement injection during vertebroplasty on incidence of adjacent vertebral fracture in patients with osteoporotic compression fracture

  • Second Department of Surgery, Xi'an Beihuan Hospital, Xi'an, Shaanxi, 710032

摘要

    摘要
  • 摘要: 目的 探讨椎体成形术中注入骨水泥对骨质疏松压缩性骨折患者相邻椎体骨折发生情况的影响。 方法 选取106例骨质疏松压缩性骨折患者作为研究对象,采用随机抽签法均分为对照组与观察组。对照组椎体成形术中在椎体内注入人工骨,观察组椎体成形术中注入骨水泥,分析并比较2组患者发生相邻椎体骨折的情况。 结果 术后1个月,观察组患者的临床总有效率为98.11%, 显著高于对照组92.45%(P<0.05); 观察组患者术后1个月、3个月、1年的相邻椎体骨折发生率分别为0%、1.89%、3.77%, 均显著低于对照组(P<0.05); 术后7 d、3个月时,观察组患者的伤椎前缘高度、伤椎后缘高度均高于对照组, Cobb角、Oswestry功能障碍指数(ODI)、视觉模拟评分法(VAS)评分均低于对照组,差异有统计学意义(P<0.05); 术后1个月,观察组患者并发症总发生率为5.67%, 显著低于对照组9.44%(P<0.05)。 结论 椎体成形术中注入骨水泥可以降低骨质疏松压缩性骨折患者发生相邻椎体骨折的概率。
    Abstract: Objective To investigate the effect of bone cement injection during vertebroplasty on adjacent vertebral fracture in patients with osteoporotic compression fracture. Methods A total of 106 patients with osteoporotic compression fractures were selected and randomly divided into control group and observation group. The control group was treated with artificial bone injection during vertebroplasty, while observation group was treated with bone cement injection during vertebroplasty. Incidence of adjacent vertebral fracture were analyzed and compared between two groups. Results One month after operation, the total effective rate of the observation group was 98.11%, which was significantly higher than 92.45% of the control group(P<0.05). At 1 month, 3 months and 1 year after operation, the incidence rates of adjacent vertebral fractures was 0%, 1.89% and 3.77% respectively, which were significantly lower than those in the control group(P<0.05). At 7 days and 3 months after operation, the heights of the anterior edge and posterior edge of the injured vertebrae in the observation group were significantly higher than those in the control group, and the Cobb angle, Oswestry dysfunction index(ODI)and visual analogue score(VAS)were significantly lower than those in the control group(P<0.05). One month after operation, the total incidence of complications in the observation group was 5.67%, which was significantly lower than 9.44% in the control group(P<0.05). Conclusion The injection of bone cement during vertebroplasty can reduce incidence rate of adjacent vertebral fracture in patients with osteoporotic compression fracture.
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    • 参考文献(15)
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出版历程
  • 收稿日期:  2019-12-09
  • 网络出版日期:  2020-08-26

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