【摘 要】
：
目的 探讨前路植骨融合术治疗陈旧性骨质疏松性椎体压缩性骨折(osteoporotic vertebral compression fracture,OVCF)不愈合的临床疗效及安全性.方法 对2007年1月-2009年1月接受前路植骨融合术的5例陈旧性骨质疏松性椎体压缩性骨折不愈合患者资料进行回顾性分析,使用目测类比疼痛评分(visual analogue scale,VAS)评估疼痛改善情况,O
【出 处】
：
2010广东省医学会骨科年会暨岭南骨科学术大会
论文部分内容阅读
目的 探讨前路植骨融合术治疗陈旧性骨质疏松性椎体压缩性骨折(osteoporotic vertebral compression fracture,OVCF)不愈合的临床疗效及安全性.方法 对2007年1月-2009年1月接受前路植骨融合术的5例陈旧性骨质疏松性椎体压缩性骨折不愈合患者资料进行回顾性分析,使用目测类比疼痛评分(visual analogue scale,VAS)评估疼痛改善情况,Oswestry功能障碍指数(Oswestry disabi lity index ODI)评估功能改善情况,通过X线片评估畸形矫正及内固定稳定、植骨融合情况,并记录手术并发症.结果 随访时间为13月～40月,平均20月,术后2周、3月、12个月VAS评分及ODI较术前明显改善(p＜0.05),术后病变节段Cobb角较术前明显改善(p＜0.05),所以患者均获得骨性融合,未发生明显内固定松动、脱出等并发症.结论 陈旧性骨质疏松性椎体压缩性骨折不愈合,在抗骨质疏松治疗基础上,采用前路植骨融合术重建脊柱稳定性,疗效确切,安全性较高.
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