| Citation: |
YE Linhui, GAO Zengxin, BAO Xianguo, GUO Changzheng, CHENG Changgui, LI Zigang, CHEN Youmin. Effect of X-ray and magnetic resonance imaging in treating patients with different types of osteoporotic thoracolumbar fracture by percutaneous kyphoplasty[J]. Journal of Clinical Medicine in Practice, 2023, 27(12): 6-10. DOI: 10.7619/jcmp.20231154
|
To explore the application effect of X-ray and magnetic resonance imaging (MRI) in the treatment of patients with different types of osteoporotic thoracolumbar fracture by percutaneous kyphoplasty (PKP).
A total of 136 patients with osteoporotic thoracolumbar fracture were selected as research objects, and they were divided into type Ⅰ group, type Ⅱ group and type Ⅲ group according to sagittal abnormal signal of MRI and morphological characteristics of vertebral body on X-ray lateral films. Patients in the three groups were conducted with targeted puncture PKP, and the Visual Analogue Scale (VAS) of pain, vertebral height, Oswestry Dysfunction Index (ODI) questionnaire and vertebral Cobb angle before and after operation were compared among three groups.
There were no significant differences in VAS scores among type Ⅰ, type Ⅱ and type Ⅲ groups at 3 days, 1 week and 6 months after surgery (P>0.05); the VAS scores at 1 week and 6 months after surgery in the three groups were significantly lower than those in the same group at 3 days after surgery (P < 0.05). At the time points of before surgery, 1 week and 6 months after surgery, the vertebral height of the type Ⅱ and type Ⅲ groups was significantly higher than that of the type Ⅰ group (P < 0.05); there was no significant difference in vertebral height between type Ⅱ and type Ⅲ groups at the time points of before surgery, 1 week and 6 months after surgery (P>0.05). There were no significant differences in the ODI index among the type Ⅰ, type Ⅱ and type Ⅲ groups at 3 days and 6 months after surgery (P>0.05); the ODI index in the three groups at 6 months after surgery was significantly lower than that in the same group at 3 days after surgery (P < 0.05). There was no significant difference in the Cobb angle of the injured vertebrae among the type Ⅰ, type Ⅱ and type Ⅲ groups at 3 days and 6 months after surgery (P>0.05).
The X-ray and MRI show high clinical application value in evaluating the condition of patients with different types of osteoporotic thoracolumbar fracture and guiding targeted puncture PKP, and type Ⅱ and type Ⅲ patients have better clinical efficacy than type I patients.
| [1] |
WAN R J, LIU S F. Efficacy and safety of unilateral and bilateral percutaneous balloon kyphoplasty for AOspineA3/A4 osteoporotic thoracolumbar burst fractures[J]. Medicine, 2020, 99(31): e21276. doi: 10.1097/MD.0000000000021276
|
| [2] |
PARK E J, LEE H J, JANG M G, et al. A novel vertebroplasty technique using a larger-diameter needle for thoracolumbar osteoporotic vertebral compression fracture[J]. Medicine, 2021, 100(22): e26174. doi: 10.1097/MD.0000000000026174
|
| [3] |
ISHIKAWA Y, WATANABE K, KATSUMI K, et al. Short- versus long-segment posterior spinal fusion with vertebroplasty for osteoporotic vertebral collapse with neurological impairment in thoracolumbar spine: a multicenter study[J]. BMC Musculoskelet Disord, 2020, 21(1): 513. doi: 10.1186/s12891-020-03539-0
|
| [4] |
刘上楼, 刘勇, 张云庆, 等. 填充明胶海绵碎粒在经皮椎体后凸成形术治疗骨质疏松性椎体压缩骨折中的应用[J]. 临床骨科杂志, 2021, 24(6): 773-776. doi: 10.3969/j.issn.1008-0287.2021.06.005
|
| [5] |
ZHAI G W, LI A, LIU B F, et al. A meta-analysis of the secondary fractures for osteoporotic vertebral compression fractures after percutaneous vertebroplasty[J]. Medicine, 2021, 100(16): e25396. doi: 10.1097/MD.0000000000025396
|
| [6] |
QIN J E, ZHONG W Y, QUAN Z X. The surgical management trends of osteoporotic vertebral compression fractures: 5-year experience in one institution[J]. Sci Rep, 2022, 12: 18040. doi: 10.1038/s41598-022-23106-y
|
| [7] |
安浩, 王晓晖, 孔令擘, 等. 骨质疏松性胸腰椎骨折分型的研究进展[J]. 中华创伤杂志, 2022, 38(2): 187-192. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJZS202212003.htm
|
| [8] |
HAO D J, YANG J S, TUO Y, et al. Reliability and application of the new morphological classification system for chronic symptomatic osteoporotic thoracolumbar fracture[J]. J Orthop Surg Res, 2020, 15(1): 348. doi: 10.1186/s13018-020-01882-5
|
| [9] |
MALIK A T, RETCHIN S, PHILLIPS F M, et al. Declining trend in osteoporosis management and screening following vertebral compression fractures—a national analysis of commercial insurance and medicare advantage beneficiaries[J]. Spine J, 2020, 20(4): 538-546. doi: 10.1016/j.spinee.2019.10.020
|
| [10] |
JIN C, XU G J, WENG D, et al. Impact of magnetic resonance imaging on treatment-related decision making for osteoporotic vertebral compression fracture: a prospective randomized trial[J]. Med Sci Monit, 2018, 24: 50-57. doi: 10.12659/MSM.905729
|
| [11] |
官奕云, 尹小锋, 钟南, 等. 经皮穿刺椎体成形术不同入路对骨质疏松性胸腰椎压缩骨折患者疼痛程度及生命质量的影响[J]. 医疗装备, 2022, 35(3): 109-111. https://www.cnki.com.cn/Article/CJFDTOTAL-YLZB202203038.htm
|
| [12] |
IWATA A, KANAYAMA M, OHA F, et al. Is bone nonunion, vertebral deformity, or spinopelvic malalignment the best therapeutic target for amelioration of low back pain after osteoporotic vertebral fracture[J]. Spine, 2020, 45(13): E760-E767. doi: 10.1097/BRS.0000000000003422
|
| [13] |
STARLINGER J, LORENZ G, FOCHTMANN-FRANA A, et al. Bisegmental posterior stabilisation of thoracolumbar fractures with polyaxial pedicle screws: does additional balloon kyphoplasty retain vertebral height[J]. PLoS One, 2020, 15(5): e0233240. doi: 10.1371/journal.pone.0233240
|
| [14] |
顾晨希, 虞宵, 黄安全, 等. 不同穿刺入路行椎体成形术治疗骨质疏松椎体压缩骨折的研究进展[J]. 中华老年骨科与康复电子杂志, 2022, 8(2): 117-122.
|
| [15] |
KHIL E K, CHOI I, CHOI J A, et al. A modified MRI protocol for the increased detection of sacrococcygeal fractures in patients with thoracolumbar junction fractures[J]. Sci Rep, 2021, 11(1): 5628. doi: 10.1038/s41598-021-85167-9
|
| [16] |
SU Y S, REN D, LIU D H, et al. Effects of endplate healing morphology on intervertebral disc degeneration after pedicle screw fixation for thoracolumbar fractures[J]. Medicine, 2021, 100(17): e25636. doi: 10.1097/MD.0000000000025636
|
| [17] |
包利帅, 吴伟, 钟喜红, 等. 骨水泥分布对单侧经椎弓根穿刺治疗脊柱骨质疏松骨折临床效果的影响[J]. 中国骨伤, 2022, 35(5): 423-429. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGU202205003.htm
|
| [18] |
MULCAHY M J, DOWER A, TAIT M. Orthosis versus no orthosis for the treatment of thoracolumbar burst fractures: a systematic review[J]. J Clin Neurosci, 2021, 85: 49-56. doi: 10.1016/j.jocn.2020.11.044
|
| [19] |
SEO D K, KIM C H, JUNG S K, et al. Analysis of the risk factors for unfavorable radiologic outcomes after fusion surgery in thoracolumbar burst fracture: what amount of postoperative thoracolumbar kyphosis correction is reasonable[J]. J Korean Neurosurg Soc, 2019, 62(1): 96-105. doi: 10.3340/jkns.2017.0214
|
| 1. |
白慧波，高建，刘云. 涤痰复音汤联合针灸治疗脑梗死言语不利的效果及对语言功能恢复的影响. 临床医学研究与实践. 2024(05): 118-122 .
| |
| 2. |
吴玮，袁垒，樊琼. 多感官刺激联合重复经颅磁刺激对运动性失语的疗效观察. 罕少疾病杂志. 2024(06): 24-25 .
| |
| 3. |
张岩，闵国庆，胡林玲，俞坤强. 重复经颅磁刺激联合综合康复训练在自闭症患儿中的应用评价. 现代医学与健康研究电子杂志. 2024(11): 20-22 .
| |
| 4. |
李国华，陆艺，王胜秋. 不同频率重复经颅磁刺激治疗脑梗死后失语症的疗效. 山东大学学报(医学版). 2023(07): 83-89 .
| |
| 5. |
陈健林，傅晓峰，倪新元，刘金坤. 百会八阵穴联合圣愈汤对脑卒中后失语症患者的疗效及脑血流的影响. 中国中医急症. 2023(09): 1583-1586 .
| |
| 6. |
戴晓瑛，钟寅燕. 中医头针联合康复训练对脑梗后失语患者日常生活能力、语言功能恢复的影响. 新中医. 2023(21): 146-151 .
| |
| 7. |
张冬萍，刘幸福. 低频经颅磁刺激联合言语训练治疗小儿脑瘫言语障碍的临床研究. 中华养生保健. 2023(18): 65-67 .
| |
| 8. |
高峰，张艳华，王慧霞. WANT联合基础构音训练对老年脑卒中后运动性构音障碍病人语言功能、构音功能及相关肌群控制能力的影响. 全科护理. 2022(17): 2389-2391 .
| |
| 9. |
李海龙，卓明明. 低频重复经颅刺激联合进阶式言语训练法对脑梗死后失语患者的疗效. 河南医学研究. 2022(16): 2984-2986 .
|
© 2020 《实用临床医药杂志》编辑部
Address: 江苏省扬州市江阳中路136号，扬州大学江阳路北校区14号楼201室China Pos: 225009Tel: 0514-87978917、87978989、87978807
Supported by:
Beijing Renhe Information Technology Co., Ltd.
苏公网安备 32100302010246号
DownLoad: