Dong You, Wang De-Yi
Department of Orthopaedics, 5th Hospital of Datong, Datong 037006, Shanxi, China.
Zhongguo Gu Shang. 2010 Jun;23(6):466-7.
To explore the clinical efficacy and safety of balloon kyphoplasty for the aged osteoporotic vertebral compression fractures.
From June 2006 to August 2009, balloon kyphoplasty was performed on 26 patients (30 vertebral bodies), who presented painful vertebral compression fractures. They were 10 males and 16 femals, with an average age of 70 years ranging from 59 to 78 years. The operative segments were 4 cases in T11 vertebraes, T12 in 10, L1 in 12, L2 in 3, L4 in 1. The reduction of compressed vertebrae was displayed by X-ray, and the patients were followed up by observation of the visual analog scale and complications.
All cases had rapid, significant and sustained improvements in postoperative pain following balloon kyphoplasty. Visual analog scale was reduced from (8.6 +/- 0.2) to (2.0 +/- 0.3) points. The anterior and midline vertebral body heights in 30 fractured vertebral bodies increased from pre-operative (18.34 +/- 3.25) mm, (14.36 +/- 2.56) mm up to pro-operative (20.51 +/- 1.34) mm, (19.66 +/- 1.28) mm (P < 0.05) respectively. No severe leakage occured.
Balloon kyphoplasty in treatment of osteoporotic vertebral compression fractures can restore the height of fractured vertebra, relieve pain and improve the spinal function with satisfactory clinical outcomes.
探讨球囊扩张椎体后凸成形术治疗老年骨质疏松性椎体压缩骨折的临床疗效及安全性。
2006年6月至2009年8月，对26例（30个椎体）疼痛性椎体压缩骨折患者行球囊扩张椎体后凸成形术。其中男性10例，女性16例，平均年龄70岁（59～78岁）。手术节段：T11椎体4例，T12椎体10例，L1椎体12例，L2椎体3例，L4椎体1例。通过X线显示压缩椎体的复位情况，并采用视觉模拟评分法观察患者术后疼痛及并发症情况进行随访。
所有患者球囊扩张椎体后凸成形术后疼痛均迅速、显著且持续改善。视觉模拟评分从（8.6±0.2）分降至（2.0±0.3）分。30个骨折椎体的椎体前缘和中线高度分别从术前的（18.34±3.25）mm、（14.36±2.56）mm增加至术后的（20.51±1.34）mm、（19.66±1.28）mm（P<0.05）。未发生严重渗漏。
球囊扩张椎体后凸成形术治疗骨质疏松性椎体压缩骨折可恢复骨折椎体高度，缓解疼痛，改善脊柱功能，临床疗效满意。
