| 摘要: |
| 目的 比较经皮椎体成形术与经皮椎体后凸成形术在胸腰椎骨折继发椎管狭窄患者中的治疗效果。方法:选择我院2017年1月1日—2021年12月31日收治的胸腰椎骨折继发椎管狭窄患者76例，分为椎体成形术组(接受经皮椎体成形术，n=31)和椎体后凸成形术组(接受经皮椎体后凸成形术，n=45)。比较患者的一般临床资料以及患者手术前后的疼痛评分(VAS评分)，功能障碍评分(ODI评分)，术后椎体前缘、中央和后缘高度和椎体Cobb角和并发症发生情况。结果:与椎体成形术组患者相比，椎体后凸成形术组患者透视时间显著缩短，手术时间和住院费用显著增加，手术后ODI评分显著降低，椎体前缘高度、椎体中央高度和椎体后缘厚度显著增加，椎体Cobb角显著降低(P<0.05)。两组患者术后VAS评分、并发症发生率比较无显著差异(P>0.05)。结论:经皮椎体后凸成形术对降低患者透视时间，改善患者功能障碍、椎体情况和促进锥体高度恢复方面存在优势，经皮椎体成形术在提高椎体Cobb角具有明显优势。 |
| 关键词: 胸腰椎骨折继发椎管狭窄 经皮椎体成形术 经皮椎体后凸成形术 |
| DOI：10.3969/j.issn.1007-6948.2024.02.013 |
| 投稿时间：2023-09-24 |
| 基金项目: |
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| Clinical study on treatment of spinal canal stenosis secondary to lumbar fracture |
| WU Lin-qing,CHEN Yun-chong,CHEN Hong-shuai |
| Sanya Central Hospital Hainan Third People's Hospital, Sanya 572000, China |
| Abstract: |
| Objective To explore the therapeutic advantages of percutaneous vertebroplasty and percutaneous kyphoplasty in patients with spinal stenosis secondary to thoracolumbar fractures. Methods A total of 76 patients with spinal stenosis secondary to lumbar fractures received in our hospital were selected from January 1, 2017 to December 31, 2021. Patients received percutaneous vertebroplasty (vertebroplasty group, n=31) and percutaneous kyphoplasty (kyphoplasty group, n=45). The general clinical data of the patients, the pain score (VAS score), dysfunction score (ODI score), the height of the anterior, central and posterior edges of the vertebral body, the Cobb angle of the vertebral body and the incidence of complications were compared before and after the operation. Results Compared with patients in the vertebral kyphoplasty group, patients in the vertebral kyphoplasty group had significantly shorter fluoroscopy time, increased surgical time and hospitalization costs, significantly reduced postoperative ODI scores, significantly increased anterior vertebral height, central vertebral height, and posterior vertebral thickness, and significantly reduced vertebral Cobb angle (P<0.05). There was no significant difference in postoperative VAS score and incidence of complications between the two groups of patients (P>0.05). Conclusion Percutaneous kyphoplasty has advantages in reducing the fluoroscopic time, improving the dysfunction and vertebral body condition of patients and promoting the recovery of cone height. Percutaneous vertebroplasty has obvious advantages in improving Cobb angle of vertebral body. |
| Key words: Spinal stenosis secondary to lumbar fractures percutaneous vertebroplasty percutaneous kyphoplasty |
