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目的探讨球囊扩张椎体后凸成形术(PKP)治疗老年骨质疏松脊柱压缩骨折的疗效和安全性。方法选取老年骨质疏松脊柱压缩骨折患者82例,行PKP手术治疗。采用VAS疼痛评分评价疼痛情况,JOA评分评定脊柱功能。Cobb角的大小与伤椎前后缘高度采用X射线侧位片测量。观察术后并发症的发生情况。结果患者手术顺利,骨水泥均超过椎体中线。手术后患者疼痛减轻。JOA评分由术前的(2.39±0.79)分恢复到术后的(8.73±1.27)分(P<0.05)。Cobb角由术前的(24.09±3.33)度恢复到术后的(13.49±2.07)度(P<0.01),术后伤椎前缘、中缘高度较术前改善(P<0.01)。结论 PKP治疗老年骨质疏松脊柱压缩骨折疗效显著,安全性高,患者预后良好。但术中及术后需注意相关技巧,避免发生并发症。
Objective To investigate the efficacy and safety of balloon dilation kyphoplasty (PKP) in the treatment of elderly patients with osteoporotic spine fractures. Methods 82 elderly patients with osteoporotic spine fractures were selected and underwent PKP. The VAS pain score was used to evaluate the pain status and the JOA score was used to assess the spine function. The size of the Cobb angle and the height of the anterior and posterior edge of the injured vertebra were measured by X-ray lateral radiographs. Observe the incidence of postoperative complications. Results The operation of the patient was smooth and the cement exceeded the midline of the vertebral body. After surgery, patients with pain relief. The JOA score recovered from (2.39 ± 0.79) preoperatively to (8.73 ± 1.27) postoperatively (P <0.05). The Cobb angle recovered from (24.09 ± 3.33) degrees before operation to (13.49 ± 2.07) degrees after operation (P <0.01). The height of the anterior border and mid margin of the injured vertebrae were improved after operation (P <0.01). Conclusion PKP treatment of elderly patients with osteoporotic vertebral compression fractures significant effect, high safety, good prognosis. But intraoperative and postoperative attention to relevant skills to avoid complications.