Kloc Wojciech, Libionka Witold, Pierzak Olaf, Liczbik Wieslaw, Beldzinski Piotr, Szopa Beata, Roclawski Marek, Pankowski Rafal, Smoczynski Andrzej, Ceynowa Marcin
Department of Neurosurgery, Pomeranian Centrum of Traumatology of Gdansk, Poland.
Stud Health Technol Inform. 2012;176:372-4.
Percutaneous Vertebroplasty (PV) has gained widespread popularity in the treatment of Vertebral Body Fractures (VBFs). The procedure involves the injection of polymethylmethacrylate (PMMA) cement into the fractured vertebral body via a needle that is placed percutaneously using either a transpedicular or extrapedicular approach. Health Related Quality of Life (HRQoL) evaluation is a widespread method of measure of the disease severity and the outcome of the treatment. The subjective feeling of pain in VBFs is crucial for the HRQoL. The aim of the study was to determine the effectiveness of percutaneous vertebroplasty in the treatment of VBFs. A group of 187 patients with VBFs of different etiology resulting from osteoporosis, trauma or tumors were treated with PV in Pomeranian Center of Traumatology in Gdansk from 2010 to 2011. The effectiveness of the treatment was evaluated with Visual Analog Scale (VAS), Hospital Anxiety and Depression Scale (HADS-M), Rolland Morris Scale (RMS), 36-Item Short Form Health Survey (SF-36) and Oswestry Disability Index (ODI) questionnaires administered before and one month after surgery. PV decreased significantly VAS score, depression and anxiety level, what improved significantly HRQoL in patients with VBFs.
经皮椎体成形术（PV）在椎体骨折（VBFs）治疗中已广泛普及。该手术通过经皮穿刺使用椎弓根或椎弓根外入路放置的针将聚甲基丙烯酸甲酯（PMMA）骨水泥注入骨折的椎体。健康相关生活质量（HRQoL）评估是衡量疾病严重程度和治疗效果的一种广泛使用的方法。VBFs患者的主观疼痛感受对HRQoL至关重要。本研究的目的是确定经皮椎体成形术治疗VBFs的有效性。2010年至2011年期间，在格但斯克的波美拉尼亚创伤中心，一组187例因骨质疏松、创伤或肿瘤导致不同病因VBFs的患者接受了PV治疗。在手术前和手术后一个月使用视觉模拟量表（VAS）、医院焦虑抑郁量表（HADS-M）、罗兰·莫里斯量表（RMS）、36项简短健康调查问卷（SF-36）和奥斯维斯特残疾指数（ODI）问卷对治疗效果进行评估。PV显著降低了VAS评分、抑郁和焦虑水平，显著改善了VBFs患者的HRQoL。
