X线监测下椎体后凸成形术治疗老年骨质疏松脊柱压缩骨折的探讨
骨质疏松,,放射学，介入性；骨质疏松；脊柱骨折；脊柱后凸,1资料与方法,2结果,3讨论,【参考文献】
【摘要】 目的 探讨椎体后凸成形术治疗老年骨质疏松脊柱压缩骨折的疗效和安全性。方法 15例疼痛性老年骨质疏松脊柱压缩骨折患者，累及椎体16个。应用DSA机器，在X线监测下，经双侧椎弓根穿刺压缩椎体，置入可扩张球囊，推注对比剂扩张球囊，使压缩椎体复位，并在椎体内形成空腔，用骨水泥向空腔内填充。术后随访疼痛缓解状况与骨折复位情况。结果 15例患者手术顺利完成，术后48h内疼痛完全缓解，无临床并发症。术后压缩椎体高度恢复满意，后凸畸形矫正8°~24°。1例患者术后CT检查发现少量骨水泥外溢。结论 椎体后凸成形术治疗老年骨质疏松脊柱压缩骨折安全有效。【关键词】 放射学，介入性；骨质疏松；脊柱骨折；脊柱后凸
X-ray assisted ballon kyphonplasty for the aged with osteoporotic vertebral compression fractures
WANG Hongli,ZHAI Wei,JING Lixin.
Department of Radiology,Daqing Oilfield Genernal Hospital,Daqing 163001,China
【Abstract】 Objective To evaluate the efficacy and safety of ballon kyphonplasty in the treatment of painful osteoporosis vertebral compression fractures.Methods 15cases of painful osteoporotic vertebral compression fractures involved 16 vertebrae.Under Xray fluoroscopy monitoring,the ballon was inflated with injected contrast agent,restored vertebral height and formed a cavity within vertebral body.The cavity was than filled with bone cement in toothpaste period.The postoperative symptoms and the radiographic findings of vertebral height were observed.Results Ballon kyphonplasty was successful in all 15 cases with dramatic pain relief within 48 hours after the procedure.No clinical complication was found.The height restoration of vertebral body was satisfying.The correction of kyphoses was 10°~24°.Leakage of a small quantity of bone cement occurred at one level.Conclusion Kyphonplasty for painful osteoporotic vertebral compression fractures was effective and safe. ......
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