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目的探讨单一球囊扩张经皮椎体后凸成形术治疗80岁以上老年骨质疏松性椎体压缩骨折的疗效及安全性。方法回顾分析高龄(80岁及其以上)老年骨质疏松性椎体压缩骨折患者15例,男性3例,女性12例,平均年龄(82.2±1.9)岁。共45个椎体,均为骨质疏松性脊柱压缩骨折,压缩骨折椎体后壁均完整。全部在C型臂X线机引导下行单侧入路、单一球囊椎体后凸成形术。结果患者平均能在术后第2天下床行走,未发现严重手术并发症。椎体前缘、中部及后缘平均高度分别由术前的(2.17±0.82)cm、(1.75±0.66)cm、(2.95±0.43)cm增至术后的(2.40±0.73)cm、(2.11±0.51)cm、(3.00±0.45)cm,椎体前缘、中部高度差异有显著统计学意义(P<0.01);术后48 h患者胸腰背痛均有缓解,术前、术后48 hVAS评分比较差异有显著统计学意义(P<0.01)。结论应用椎体后凸成形术治疗高龄骨质疏松性椎体压缩骨折,能够安全、有效地改善骨折椎体高度,明显缓解疼痛,早期下床活动。
Objective To investigate the efficacy and safety of single balloon dilatation percutaneous kyphoplasty in the treatment of osteoporotic vertebral compression fractures in the elderly over 80 years old. Methods A retrospective analysis of elderly aged (80 years and older) osteoporotic vertebral compression fractures in 15 patients, 3 males and 12 females, mean age (82.2 ± 1.9) years. A total of 45 vertebral bodies, are osteoporotic vertebral compression fractures, compression fractures vertebral body posterior wall are intact. All in the C-arm X-ray machine to guide the downlink unilateral approach, a single balloon kyphoplasty. Results The average patient could walk out of bed on the second day after operation, and no serious surgical complications were found. The average height of the anterior, middle and posterior edge of the vertebral body increased from (2.17 ± 0.82) cm, (1.75 ± 0.66) cm and (2.95 ± 0.43) cm to (2.40 ± 0.73) cm ± 0.51) cm and (3.00 ± 0.45) cm, respectively. There was a significant difference in the height of the anterior and middle vertebral bodies between the two groups (P <0.01) hVAS score was significantly different (P <0.01). Conclusions The application of kyphoplasty in the treatment of osteoporotic vertebral compression fractures in elderly patients can improve the vertebral body height and relieve the pain and early ambulation safely and effectively.