Abstract:Objective To evaluate the clinical efficacy and safety of percutaneous kyphoplasty(PKP) in the treatment of the senile with osteoporotic vertebral compression fractures.Methods Clinical data of 58 elderly cases with vertebral compression fractures performed PKP operation from Sept. 2011 to Dec. 2013 were retrospectively analyzed. In which, 21 cases were fracture of lumbar vertebra and 27 cases were fracture of thoracic vertebra. The vertebral body reduction after operation, the operative complications and clinical efficacy were observed.Results Pain relief was achieved in all patients the first day after the operation, the X-ray film after 2-3 days showed 56 patients were satisfied with the restoring of the vertebra height, the Cobb′s angle correction was 12°-30°(average 16°). They performed off-bed activities with corset for 3-4 days after the operation. There were no complications such as the spinal cord injury, posterior vertebral wall leakage or pulmonary embolism. No recurrence was found in 58 cases during the follow up period for 3-5 months and no vertebra height lose. Cure occurred in 48 cases, improvement in 8 cases and effectiveness in 2 cases, the excellent and good rate was 96.5% (56/58).Conclusions PKP can quickly relieve pain, restore vertebral body height as well as strength and it enables patients to perform the early ambulation, reduces the occurrence of complications, and therefore, it is worth popularizing as a minimally invasive spinal operation.
冯定祥,吴峰,董克成. 球囊扩张椎体后凸成形术在老年人胸腰椎骨质疏松性压缩骨折治疗中的应用[J]. 中华解剖与临床杂志, 2014, 19(3): 216-219.
Feng Dingxiang, Wu Feng, Dong Kecheng. Percutaneous kyphoplasty in the treatment of the senile with osteoporotic vertebral compression fractures. Chinese Journal of Anatomy and Clinics, 2014, 19(3): 216-219.
Nieuwenhuijse MJ, Van Erkel AR, Dijkstra PD, et al. Cement leakage in percutaneous vertebroplasty for osteoporotic vertebral compression fractures: identification of risk factors[J]. Spine J, 2011, 11(9): 839-848.
[3]
Teng MM, Wei CJ, Wei LC, et al. Kyphosis correction and height restoration effects ofpercutaneous vertebroplasty[J]. AJNR Am J Neuroradiol, 2003, 24(9): 1893-1900.
[4]
Tanigawa N, Kariya S, Komemushi A, et al. Percutaneous vertebroplasty for osteoporotic compression fractures: longterm evaluation of the technical and clinical outcomes[J]. AJR Am J Roentgenol, 2011, 196(6): 1415-1418.
[5]
Molina GS, Campero A, Feito R, et al. Kyphoplasty in the treatment of osteoporotic Vertebral Compression Fractures ( VCF) : procedure description and analysis of the outcomes in 128 patients[J]. Acta Neurochir Suppl, 2011, 108: 163-170.
Boonen S, Wahl DA, Nauroy L, et al. Balloon kyphoplasty and vertebroplasty in the management of vertebral compression fractures[J]. Osteoporos Int, 2011, 22(12): 2915-2934.
[8]
Liebschner MA, Rosenberg WS, Keaveny TM. Effects of bone cement volume and distribution on vertebral stiffness after vertebroplasty[J]. Spine, 2001, 26(14): 1547-1554.
Nieuwenhuijse MJ, Muijs SP, van Erkel AR, et al. A clinical comparative study on low versus medium viscosity polymethylmetacrylate bone cement in percutaneous vertebroplasty: viscosity associated with cement leakage [J]. Spine(Phila Pa 1976), 2010, 35(20): E1037-E1044.
[13]
Chen LH, Hsieh MK, Liao JC, et al. Repeated percutaneous vertebroplasty for refracture of cemented vertebrae[J]. Arch Orthop Trauma Surg, 2011, 131(7): 927-933.